Organization Active NPI

Heartlight Family Clinic, LLC

Doing business as Redwood Medical Aurora

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1629843362
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEARTLIGHT FAMILY CLINIC, LLC
Doing business as
Redwood Medical Aurora
Practice address
1421 S Potomac St Ste 300
Aurora, CO 80012-4512
Phone
(204) 853-1787
NPI assigned
Nov 22, 2023
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLIGHT FAMILY CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Brent HerronNPI 1437544558
Title
Owner
Phone
(303) 249-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Primary Care Nurse Practitioner 363LP2300X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1421 S Potomac St Ste 300
Aurora, CO 80012-4512

Mailing address

1421 S Potomac St Ste 140
Aurora, CO 80012-4535
Phone (204) 853-1787

Other names 1

  • Redwood Medical Aurora Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartlight Family Clinic LLC2 organizations share this tax ID, including this one
Part of
Heartlight Family Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1421 S Potomac St
Ste 140
Aurora, CO 80012

1421 S Potomac St
Ste 300
Aurora, CO 80012
Phone (204) 853-1787

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIICD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1629843362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "204-853-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124512",
            "telephone_number": "204-853-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLIGHT FAMILY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLIGHT FAMILY CLINIC, LLC",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-249-0908"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Medical Aurora",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Medical Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.