Individual provider Active NPI

Bryan Michael Petti, D.O.

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1659635662
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0063456 Issued in CO
Practice address
1555 S Wadsworth Blvd
Lakewood, CO 80232-6832
Phone
(303) 985-1597
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0063456 CO Primary

Addresses

Primary practice location

1555 S Wadsworth Blvd
Lakewood, CO 80232-6832

Mailing address

1555 S Wadsworth Blvd
Lakewood, CO 80232-6832
Phone (303) 985-1597

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
I20200317001211 CO Practitioner - Family Practice 6204068349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

15101 E Iliff Ave
Suite 140
Aurora, CO 80014-4548
Phone (720) 878-7055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0063456COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mednow Clinics, Inc CurrentSince Feb 4, 2026 Accepting new patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

205 S Garrison St
Ste B
Lakewood, CO 80226
Phone (303) 237-2779

1555 S Wadsworth Blvd
Lakewood, CO 80232
Phone (303) 985-1597

255 Union Blvd
Ste 360
Lakewood, CO 80228
Phone (303) 237-2779

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

Interoperability endpoints

  • Direct secure messaging: bryanpetti@cpp.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1659635662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326832",
            "telephone_number": "303-985-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326832",
            "telephone_number": "303-985-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTI",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0063456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.