Mollie M Bradmon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3278 Issued in CO

Practice address

1175 58TH Ave Ste 200
Greeley, CO 80634-4808

Phone

(970) 495-0444

Fax

(970) 488-3106

NPI assigned

Nov 1, 2011

Last updated

Apr 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Anesthesia Professional Consultants LLPGroup PAC ID 2860474228, 5 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
• Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Intermountain Anesthesia Professional Consultants, LLP

  dba Northern Colorado Pain Management

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1891793022
  Medicare reassignment Care Compare group
• Creekside Physical Medicine PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boulder, CO
  • NPI 1578601969
  Medicare reassignment
• Jeffrey a Snyder MD PC

  • Urology Physician
  • Denver, CO
  • NPI 1710085642
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical Center of the Rockies

  dba Greeley Emergency Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1104262286
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1750392304
  Care Compare affiliation
• Medical Center of the Rockies

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780243055
  Care Compare affiliation
• Uchealth Greeley Hospital

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1780183145
  Care Compare affiliation

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1679859995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE STE 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344808",
            "telephone_number": "970-495-0300",
            "fax_number": "970-224-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 58TH AVE STE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344808",
            "telephone_number": "970-495-0444",
            "fax_number": "970-488-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADMON",
        "first_name": "MOLLIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Brachfeld, MSW
• Braden Partners LP (Pacific Pulmonary Services)
• Michael Bradfield, MD
• Casey Bradley
• Paul B Bradley, D.C.
• Taelor Bradt
• Molly Marie Brady, PSY.D.
• David Loius Braham, M.S., PLMFT
• Jenny Lee Brakovec, MD
• Gayann Rene Brandenburg, M.S.

• Physician Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.

Verify at the official NPI Registry.