Active NPI
Bryce Mikel, M.D.
- Pulmonary Disease Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- DR.0069246
- Practice address
- 2121 E Harmony Rd Unit 300
Fort Collins, CO 80528-3403 - Phone
- (970) 221-9104
- NPI assigned
- Jul 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 61142 | MN | |
| Pulmonary Disease Physician | 207RP1001X | DR.0069246 | CO | Primary |
Addresses
Primary practice location
2121 E Harmony Rd Unit 300
Fort Collins, CO 80528-3403
Mailing address
PO Box 732031
Dallas, TX 75373-2031
Phone (866) 429-6045
Other practice location 1
8100 W 78th St
Edina, MN 55439
Phone (952) 914-8100
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61142 | MN | MD | Internal Medicine Physician |
| DR.0069246 | CO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Pulmonary Disease | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Pulmonary Disease | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
2121 E Harmony Rd
Unit 300
Fort Collins, CO 80528
Phone (970) 224-0429
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Interoperability endpoints
- bmikel257290@direct.llu.edu
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 Practice Physician
- Loveland, CO
- NPI 1225356868
Pulmonary Disease
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1487037909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732031",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732031",
"telephone_number": "866-429-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD UNIT 300",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283403",
"telephone_number": "970-221-9104"
}
],
"practiceLocations": [
{
"address_1": "8100 W 78th St",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "55439",
"country_code": "US",
"telephone_number": "952-914-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKEL",
"first_name": "BRYCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "61142",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "DR.0069246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.