Active NPI
Brian P Stromer, PA-C
- Physician Assistant
- Greeley, CO
National Provider Identifier
1619165628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2502
- Practice address
- 100 N 11TH Ave
Greeley, CO 80631-2011 - Phone
- (970) 352-8898
- Fax
- (970) 351-7075
- NPI assigned
- Oct 4, 2007
- Last updated
- Feb 9, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2502 | CO | Primary |
Addresses
Primary practice location
100 N 11TH Ave
Greeley, CO 80631-2011
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-1130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16287088 | 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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2502 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Community Health | Past | Accepting new patients |
Interoperability endpoints
- brian.stromer.1@27043.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Monfort Family Clinic
- Federally Qualified Health Center (FQHC)
- Evans, CO
- NPI 1295732048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1619165628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-353-1130",
"fax_number": "970-353-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 11TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806312011",
"telephone_number": "970-352-8898",
"fax_number": "970-351-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMER",
"first_name": "BRIAN",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16287088",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.