Active NPI
Peter T Pons, MD
- Emergency Medicine Physician
- Brighton, CO
National Provider Identifier
1619083193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21257
- Practice address
- 16430 Leyden St
Brighton, CO 80602-6087 - Phone
- (303) 321-0107
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21257 | CO | Primary |
Addresses
Primary practice location
16430 Leyden St
Brighton, CO 80602-6087
Mailing address
16430 Leyden St
Brighton, CO 80602-6087
Phone (303) 321-0107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01212570 | Medicaid | CO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1619083193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16430 LEYDEN ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806026087",
"telephone_number": "303-321-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16430 LEYDEN ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806026087",
"telephone_number": "303-321-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONS",
"first_name": "PETER",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "21257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01212570",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.