Individual provider Active NPI

Brad Alan Case, MD

  • Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1629029160
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0075990 Issued in FL
Practice address
2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3605
Phone
(970) 773-1946
Fax
(970) 644-5399
NPI assigned
May 12, 2006
Last updated
Aug 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME0075990 FL
Surgery Physician 208600000X ME75990 FL
Surgery Physician 208600000X ME0075990 FL Primary
Vascular Surgery Physician 2086S0129X ME75990 FL

Addresses

Primary practice location

2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3605

Mailing address

2478 Patterson Road
Suite 4
Grand Junction, CO 81505
Phone (970) 773-1946

Other identifiers 1

IdentifierTypeStateIssuer
254595100MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120714000072 CO Practitioner - General Surgery 3577516996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3606
Phone (970) 773-1946

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075990FLMDVascular Surgery Physician
ME75990FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brad a. Case, MD, PA Surgery CurrentSince May 10, 2016 Accepting new patients

Locations

2478 Patterson Rd
Ste 4
Grand Junction, CO 81505
Phone (970) 773-1946

Interoperability endpoints

  • Direct secure messaging: brad.case.1@9956.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9956/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1629029160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON ROAD",
            "address_2": "SUITE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-773-1946",
            "fax_number": "970-644-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-773-1946",
            "fax_number": "970-644-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME0075990",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME75990",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0075990",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME75990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254595100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.