Individual provider Active NPI

Brayden J Healey, DO

  • Dermatology Physician
  • Colorado Springs, CO
National Provider Identifier
1649625351
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0071889 Issued in CO
Practice address
9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
May 1, 2016
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101026324 MI
Dermatology Physician 207N00000X DR.0071889 CO Primary

Addresses

Primary practice location

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023

Mailing address

9833 Fairway Glen Dr
Peyton, CO 80831-4615

Other practice location 1

28333 Harper Ave
Saint Clair Shores, MI 48081-1687
Phone (586) 776-9770

Other identifiers 2

IdentifierTypeStateIssuer
FH2934025OtherCODEA
DR.0071889OtherCOCOLORADO MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230607003676 MI Practitioner - Dermatology 9234465667 Reassigns benefits to 1 organization
I20240506000462 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9234465667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9348 Grand Cordera Pkwy
Suite 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision93
Removal of skin lesions870
Removal of skin cancer379
Removal or shaving of skin growth1-10
Skin biopsy323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071889COMDDermatology Physician
5101026324MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2023 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Vanguard Medical Specialists LLC Dermatology Current Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients
Stephen I. Field, M.D., P.C. Dermatology PastSince Jun 1, 2023 Accepting new patients
Western University of Health Sciences Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

41 State Highway 67
Unit B
Woodland Park, CO 80863

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Interoperability endpoints

  • Direct secure messaging: brayden.healey.p1@direct.vanguardmed.nextgenshare.com
  • Direct secure messaging: bhealey43381@direct.trinity-health.org

Organizations & group practices 10

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": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1649625351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 FAIRWAY GLEN DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28333 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811687",
            "country_code": "US",
            "telephone_number": "586-776-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "BRAYDEN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-01",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101026324",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0071889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "FH2934025",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0071889",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.