Active NPI
Brad A Marder, MD
- Nephrology Physician
- Denver, CO
National Provider Identifier
1487636775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 41606
- Practice address
- 130 Rampart Way Ste 300B
Denver, CO 80230-6451 - Phone
- (303) 327-4700
- Fax
- (303) 327-4711
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 41606 | CO | Primary |
Addresses
Primary practice location
130 Rampart Way Ste 300B
Denver, CO 80230-6451
Mailing address
20 S Trenton St
Denver, CO 80230-6993
Phone (303) 909-2256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54504368 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41606 | CO | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1487636775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S TRENTON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802306993",
"telephone_number": "303-909-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RAMPART WAY STE 300B",
"city": "DENVER",
"state": "CO",
"postal_code": "802306451",
"telephone_number": "303-327-4700",
"fax_number": "303-327-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "BRAD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "41606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54504368",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.