Active NPI
Brenda Marie Kopriva, MD
- Surgery Physician
- Colby, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0433262
- Practice address
- 310 E College Dr
Colby, KS 67701-3716 - Phone
- (785) 462-6184
- Fax
- (785) 460-1490
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26100 | NE | |
| Surgery Physician | 208600000X | 0433262 | KS | Primary |
Addresses
Primary practice location
310 E College Dr
Colby, KS 67701-3716
Mailing address
310 E College Dr
Colby, KS 67701-3716
Phone (785) 462-6184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201117420A | Medicaid | KS |
Other names 1
- Brenda Marie Mellies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0433262 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rawlins County Health Center | Current | Accepting new patients | |
| Citizens Medical Center, Inc | Surgery | Current | Accepting new patients |
| Rawlins County Health Center | Current | Accepting new patients | |
| Rawlins County Health Center | Current | Accepting new patients | |
| Citizens Medical Center Inc | Current | Accepting new patients | |
| Citizens Medical Center, Inc. | Current | Accepting new patients | |
| Rawlins County Health Center | Past | Accepting new patients | |
| Citizens Medical Center, Inc. | Past | Accepting new patients |
Locations
707 Grant St
Atwood, KS 67730
Phone (785) 626-3211
100 E College Dr
Colby, KS 67701
Phone (785) 462-7511
310 E College Dr
Colby, KS 67701
Phone (785) 462-6184
Interoperability endpoints
- brenda.kopriva@khindirect.org
- https://api.platform.athenahealth.com/13372/brand/1/csg/1/fhir/r4
- brenda.kopriva.1@13372.direct.athenahealth.com
- bkopriva661179@direct.ochin.org
Organizations & group practices 8
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.
-
dba Citizens Medical Equipment
- Critical Access Hospital
- Colby, KS
- NPI 1386678431
-
- Primary Care Clinic/Center
- Atwood, KS
- NPI 1306883046
-
- Critical Access Hospital
- Atwood, KS
- NPI 1942257431
-
dba Palace Drug at Citizens Health
- Community/Retail Pharmacy
- Colby, KS
- NPI 1447962493
-
dba Family Center for Health Care
- Family Medicine Physician
- Colby, KS
- NPI 1457448110
Surgery
-
dba Rawlins Clinic/McDonald
- Rural Health Clinic/Center
- McDonald, KS
- NPI 1053358796
-
- Durable Medical Equipment & Medical Supplies
- Colby, KS
- NPI 1720524465
-
- Medicare Defined Swing Bed Hospital Unit
- Atwood, KS
- NPI 1346275328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1598970642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E COLLEGE DR",
"city": "COLBY",
"state": "KS",
"postal_code": "677013716",
"telephone_number": "785-462-6184",
"fax_number": "785-460-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E COLLEGE DR",
"city": "COLBY",
"state": "KS",
"postal_code": "677013716",
"telephone_number": "785-462-6184",
"fax_number": "785-460-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPRIVA",
"first_name": "BRENDA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "26100",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "0433262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201117420A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "MELLIES",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.