NPIMap

Individual provider Active NPI

Brad Joseph Priebe, DO

  • Neurology Physician
  • Colorado Springs, CO
National Provider Identifier
1609195676
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0054025 Issued in CO
Practice address
5770 Flintridge Dr
Suite 100
Colorado Springs, CO 80918-1881
Phone
(517) 353-8122
NPI assigned
May 28, 2010
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DR.0054025 CO Primary

Addresses

Primary practice location

5770 Flintridge Dr
Suite 100
Colorado Springs, CO 80918-1881

Mailing address

13010 Tahosa LN
Colorado Springs, CO 80908-3251
Phone (269) 209-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828001533 CO Practitioner - Neurology 0648498956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Neurology Corp PCGroup PAC ID 0042592339, 7 clinicians

Practice addresses (Care Compare)

5770 Flintridge Dr
Suite 100
Colorado Springs, CO 80918-1870
Phone (719) 445-9902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.63 of 100Reported as group
Quality
44.01
Improvement activities
40
Cost
56.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0054025COMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Neurology Corp PC Neurology CurrentSince Dec 7, 2016 Accepting new patients
Peak Neurology Corp PC Neurology CurrentSince Dec 7, 2025 Accepting new patients

Locations

5770 Flintridge Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 445-9902

3464 S Willow St
Ste 10
Denver, CO 80231

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1609195676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 TAHOSA LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083251",
            "telephone_number": "269-209-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 FLINTRIDGE DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181881",
            "telephone_number": "517-353-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "BRAD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0054025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.