Brad C Runyan MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

35264 Issued in CO

Legal business name

BRAD C RUNYAN MD PC

Practice address

2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404

Phone

(970) 212-0169

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Drew

Title

Office Manager

Phone

(970) 212-0169

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1609067941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 350",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-212-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 350",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-212-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD C RUNYAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-212-0169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "35264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352640",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehema Boyes, LPC
• Colleen Boyle, M.S. CCC-SLP
• Elizabeth Amy Boyle, DPT
• Ashley Boynton, M.A.
• Jason Brabson
• Julia R Braden, L.C.M.T.
• Agnieszka Bradley, CCC-SLP
• Anne M Bradley, ATC
• Cassandra Lee Bradley, CRNA
• John Carter Bradley, MD

• Otolaryngology Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.