Active NPI
Nathanael Steven Brady, D.O.
- Allergy Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 48591
- Practice address
- 1710 Jet Stream Dr Ste 105
Colorado Springs, CO 80921-3937 - Phone
- (719) 260-1022
- Fax
- (719) 260-7790
- NPI assigned
- Jul 12, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 34.009046 | OH | |
| Allergy & Immunology Physician | 207K00000X | 48591 | CO | |
| Pediatrics Physician | 208000000X | 34.009046 | OH | |
| Pediatrics Physician | 208000000X | 48591 | CO | |
| Allergy Physician | 207KA0200X | 48591 | CO | Primary |
Addresses
Primary practice location
1710 Jet Stream Dr Ste 105
Colorado Springs, CO 80921-3937
Mailing address
1710 Jet Stream Dr Ste 105
Colorado Springs, CO 80921-3937
Phone (916) 990-3649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83737049 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100712000643 | CO | Practitioner - Allergy/Immunology | 9133251036 | Reassigns benefits to 2 organizations |
| I20250519000614 | TN | Practitioner - Allergy/Immunology | 9133251036 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Michigan State University College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5616
Phone (865) 584-4112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48591 | CO | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Medical Aesthetics and Wellness, PLLC | Single Specialty | Current | Accepting new patients |
| Allergic Diseases Asthma & Immunology Clinic PC | Single Specialty | Current | Accepting new patients |
| Aleracare of Colorado, LLC | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Aleracare of Colorado, LLC | Single Specialty | Current | Accepting new patients |
| Pikes Peak Allergy & Asthma | Single Specialty | Current | Accepting new patients |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Aleracare of Colorado, LLC | Past | Accepting new patients | |
| Pikes Peak ENT | Single Specialty | Past | Accepting new patients |
Locations
5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820
1550 S Potomac St
Ste 145
Aurora, CO 80012
Phone (480) 716-5820
1710 Jet Stream Dr
Ste 105
Colorado Springs, CO 80921
Phone (719) 260-1022
6475 Wall St
Ste 100
Colorado Springs, CO 80918
Phone (719) 488-4664
595 Chapel Hills Dr
Ste 102
Colorado Springs, CO 80920
Phone (719) 593-1234
750 W Hampden Ave
Ste 285
Englewood, CO 80110
Phone (888) 238-9523
1303 Fortino Blvd
Ste C
Pueblo, CO 81008
Phone (480) 716-5820
321 Midway Medical Park
Ste 3
Bristol, TN 37620
Phone (423) 968-3440
1406 Tusculum Blvd
Ste 2500
Greeneville, TN 37745
Phone (423) 638-9595
403 Princeton Rd
Ste 4
Johnson City, TN 37601
Phone (423) 928-0113
2012 Brookside Dr
Ste 11
Kingsport, TN 37660
Phone (423) 378-3131
7417 Kingston Pike
Ste 101
Knoxville, TN 37919
Phone (865) 584-4112
Interoperability endpoints
- nbrady528678@balladhealth.medalliesdirect.net
- nathanael.brady.1@22384.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Allergy & Immunology Physician
- Colorado Springs, CO
- NPI 1346273521
CO, Single Specialty
-
- Allergy Physician
- Knoxville, TN
- NPI 1205879400
Single Specialty, TN
-
- Multi-Specialty Clinic/Center
- Pueblo, CO
- NPI 1033713805
CO, Single Specialty
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1396618260
-
- Dermatology Physician
- Colorado Springs, CO
- NPI 1356210157
Single Specialty
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Multi-Specialty Clinic/Center
- Pueblo, CO
- NPI 1093409716
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1114611837
-
- Multi-Specialty Clinic/Center
- Englewood, CO
- NPI 1285228916
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1801669353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1497954358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 JET STREAM DR STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213937",
"telephone_number": "916-990-3649",
"fax_number": "719-260-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 JET STREAM DR STE 105",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213937",
"telephone_number": "719-260-1022",
"fax_number": "719-260-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "NATHANAEL",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "34.009046",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CO",
"license": "48591",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.009046",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "48591",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "CO",
"license": "48591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83737049",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.