Individual provider Active NPI

Helle Marie Bradley, MD

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1508857285
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48566 Issued in CO
Practice address
265 S Parkside Dr
Suite 110
Colorado Springs, CO 80910-3141
Phone
(719) 358-5377
Fax
(719) 323-2705
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 48566 CO Primary

Addresses

Primary practice location

265 S Parkside Dr
Suite 110
Colorado Springs, CO 80910-3141

Mailing address

265 S Parkside Dr
Suite 110
Colorado Springs, CO 80910-3141
Phone (719) 358-5377

Other identifiers 1

IdentifierTypeStateIssuer
64214430MedicaidKY

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

LicenseStateTypeSpecialty
48566COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Reflux and Weight Loss Surgery PLLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

4810 Rusina Rd
Ste B
Colorado Springs, CO 80907
Phone (719) 358-5377

Interoperability endpoints

  • Direct secure messaging: hbradley@direct.meditouchehr.com

Organizations & group practices 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1508857285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S PARKSIDE DR",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103141",
            "telephone_number": "719-358-5377",
            "fax_number": "719-323-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S PARKSIDE DR",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103141",
            "telephone_number": "719-358-5377",
            "fax_number": "719-323-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "HELLE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "48566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64214430",
            "state": "KY"
        }
    ],
    "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 Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.