Active NPI
Brayden J Healey, DO
- Dermatology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DR.0071889
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FH2934025 | Other | CO | DEA |
| DR.0071889 | Other | CO | COLORADO MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 93 |
| Removal of skin lesions | 870 |
| Removal of skin cancer | 379 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 323 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0071889 | CO | MD | Dermatology Physician |
| 5101026324 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Dermatology | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Vanguard Medical Specialists, LLC | Dermatology | Current | 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 | Current | Accepting new patients |
| Vanguard Medical Specialists, LLC | Dermatology | Past | Accepting new patients |
| Stephen I. Field, M.D., P.C. | Dermatology | Past | 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
- brayden.healey.p1@direct.vanguardmed.nextgenshare.com
- 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.
-
dba Vanguard Skin Specialists
- Dermatology Physician
- Colorado Springs, CO
- NPI 1518105253
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Dermatology Physician
- Canon City, CO
- NPI 1366062994
-
dba Vanguard Skin Specialists
- Dermatology Physician
- Hugo, CO
- NPI 1821890351
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Academic Dermatology Center
- Dermatology Physician
- Ypsilanti, MI
- NPI 1235517418
-
- Dermatology Physician
- Woodland Park, CO
- NPI 1558981175
-
dba Vanguard Skin Specialists
- Dermatology Physician
- Colorado Springs, CO
- NPI 1477326163
-
- Dermatology Physician
- Saint Clair Shores, MI
- NPI 1376761890
-
dba WesternU Patient Care
- Adult Medicine Physician
- Lebanon, OR
- NPI 1639555170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.