Individual provider Active NPI

Nathanael Steven Brady, D.O.

  • Allergy Physician
  • Colorado Springs, CO
National Provider Identifier
1497954358
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
48591 Issued in CO
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

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
83737049MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
Allergic Diseases Asthma and Immunology Clinic PCGroup PAC ID 7416950704, 5 clinicians

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

LicenseStateTypeSpecialty
48591COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Medical Aesthetics and Wellness, PLLC Single Specialty CurrentSince Nov 8, 2025 Accepting new patients
Allergic Diseases Asthma & Immunology Clinic PC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Aleracare of Colorado, LLC CurrentSince May 15, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Aleracare of Colorado, LLC Single Specialty CurrentSince May 15, 2022 Accepting new patients
Pikes Peak Allergy & Asthma Single Specialty CurrentSince Jul 9, 2010 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 PastSince Sep 20, 2015 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

  • Direct secure messaging: nbrady528678@balladhealth.medalliesdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.