Individual provider Active NPI

Neal Joseph Brugman, PSY.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1417291378
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0003786 Issued in CO
Practice address
2100 S Corona St
Denver, CO 80210-4516
Phone
(720) 295-7605
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0003786 CO Primary

Addresses

Primary practice location

2100 S Corona St
Denver, CO 80210-4516

Mailing address

1780 S Bellaire St
Ste 625
Denver, CO 80222-4354
Phone (720) 295-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114001639 CO Practitioner - Clinical Psychologist 4082840939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1780 S Bellaire St
Suite 625
Denver, CO 80222-4354
Phone (720) 295-7605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003786COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neal Brugman PSYD LLC Clinical CurrentSince Oct 26, 2019 Accepting new patients

Locations

1780 S Bellaire St
Ste 625
Denver, CO 80222
Phone (720) 295-7605

2100 S Corona St
Denver, CO 80210
Phone (303) 674-6415

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1417291378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S BELLAIRE ST",
            "address_2": "STE 625",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224354",
            "telephone_number": "720-295-7605",
            "fax_number": "720-815-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S CORONA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104516",
            "telephone_number": "720-295-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGMAN",
        "first_name": "NEAL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.