Individual provider Active NPI

Brandy Lynn Frazao, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1609018738
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004621 Issued in CO
Practice address
2465 S Downing St Ste 110
Denver, CO 80210-5822
Phone
(303) 778-5774
Fax
(303) 778-2436
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X P.A.0004621 CO
Medical Physician Assistant 363AM0700X 0010-01753 NC
Physician Assistant 363A00000X PA.0004621 CO Primary

Addresses

Primary practice location

2465 S Downing St Ste 110
Denver, CO 80210-5822

Mailing address

2465 S Downing St Ste 110
Denver, CO 80210-5822
Phone (303) 778-5774

Other names 1

  • Mrs. Brandy Frazao Lamm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000968 CO Practitioner - Physician Assistant 6901955194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004621COMDPhysician Assistant
P.A.0004621COMDMedical Physician Assistant
0010-01753NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc CurrentSince Jun 11, 2016 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 12, 2020 Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367

2525 S Downing St
#1S
Denver, CO 80210
Phone (303) 765-6969

2465 S Downing St
Ste 110
Denver, CO 80210
Phone (303) 778-1955

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

Interoperability endpoints

  • Direct secure messaging: bfrazao1869587@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1609018738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 S DOWNING ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105822",
            "telephone_number": "303-778-5774",
            "fax_number": "303-778-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S DOWNING ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105822",
            "telephone_number": "303-778-5774",
            "fax_number": "303-778-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZAO",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "P.A.0004621",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01753",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "LAMM",
            "middle_name": "FRAZAO",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.