Individual provider Active NPI

Robert E Brown, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lakewood, CO
National Provider Identifier
1487630059
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
29919 Issued in CO
Practice address
12596 W Bayaud Ave Ste 205
Lakewood, CO 80228-2000
Phone
(303) 940-4790
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 29919 CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 205
Lakewood, CO 80228-2000

Mailing address

12596 W Bayaud Ave Ste 205
Lakewood, CO 80228-2000
Phone (303) 945-4790

Other practice location 1

300 Union Blvd
Suite 260
Lakewood, CO 80228-1535
Phone (303) 456-8868

Other identifiers 1

IdentifierTypeStateIssuer
01299197MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000339 CO Practitioner - Anesthesiology 1557453107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nevada School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regeneration LLCGroup PAC ID 2264868900, 2 clinicians

Practice addresses (Care Compare)

12596 W Bayaud Ave
Suite 205
Lakewood, CO 80228-2018
Phone (303) 945-4790

Merit-based Incentive Payment System (MIPS)

Final score
22.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29919COMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regeneration, LLC Pain Medicine CurrentSince Jan 1, 2020 Accepting new patients
Physician Anesthesia Services PC Past Accepting new patients

Locations

12596 W Bayaud Ave
Ste 205
Lakewood, CO 80228
Phone (303) 940-4790

Interoperability endpoints

  • Direct secure messaging: milehighregenerativeandpaintherapy.robertbrown@144774.advancedmd-direct.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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1487630059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 205",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282000",
            "telephone_number": "303-945-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 205",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282000",
            "telephone_number": "303-940-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Union Blvd",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281535",
            "country_code": "US",
            "telephone_number": "303-456-8868",
            "fax_number": "303-456-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "29919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299197",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.