Active NPI
Brenna Marie Cameron, MD
- Pediatrics Physician
- Montrose, CO
National Provider Identifier
1447837844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0073389
- Practice address
- 947 S 5TH St
Montrose, CO 81401-5716 - Phone
- (970) 249-2421
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0073389 | CO | Primary |
Addresses
Primary practice location
947 S 5TH St
Montrose, CO 81401-5716
Mailing address
947 S 5TH St
Montrose, CO 81401-5716
Phone (970) 249-2421
Other practice location 1
242 Cottonwood St Ste 101
Delta, CO 81416-4404
Phone (970) 874-7552
Other practice location 2
906 S 4th St
Montrose, CO 81401-4226
Phone (970) 249-2421
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914003902 | CO | Order and Referring Only - Pediatric Medicine | 7012313141 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0073389 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Memorial Hospital, Inc | Past | Accepting new patients | |
| Pediatric Associates Prof LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- brenna.cameron.1@11212.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Montrose, CO
- NPI 1205822186
-
- Pediatrics Physician
- Montrose, CO
- NPI 1548261324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1447837844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 S 5TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015716",
"telephone_number": "970-249-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 S 5TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015716",
"telephone_number": "970-249-2421"
}
],
"practiceLocations": [
{
"address_1": "242 Cottonwood St Ste 101",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814164404",
"country_code": "US",
"telephone_number": "970-874-7552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "906 S 4th St",
"address_purpose": "LOCATION",
"city": "Montrose",
"state": "CO",
"postal_code": "814014226",
"country_code": "US",
"telephone_number": "970-249-2421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMERON",
"first_name": "BRENNA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2024-07-23",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0073389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.