Charles Bradley Sisson, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35700 Issued in CO

Practice address

2244 E Harmony Rd Ste 100
Fort Collins, CO 80528-3422

Phone

(970) 412-5928

Fax

(970) 632-6181

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.sisson.1@21787.direct.athenahealth.com
• Direct secure messaging: charles.sisson.3@21787.direct.athenahealth.com
• Direct secure messaging: bsisson@coloradoclinic.mdlogic.direct-ci.com

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.

• Western Health and Safety

  • Clinical Medical Laboratory
  • Greeley, CO
  • NPI 1003257650
  NPD Authorized official
• Nococai, LLC

  • Multi-Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1265129134

  Pain Medicine

  NPD
• Anesthesiology Consultants Exchange, PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1184670218
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1699717181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 E HARMONY RD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283422",
            "telephone_number": "970-412-5928",
            "fax_number": "970-632-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 E HARMONY RD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283422",
            "telephone_number": "970-412-5928",
            "fax_number": "970-632-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "CHARLES",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "35700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42708877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann F Sipple, MS CCC SLP
• Victor Siqueiros
• Jesica Mali Siriwardane, O.D.
• Katherine E Siros, PT, DPT
• Danielle Irene Sisneros, M.A., LPC
• Lucas D Sittner, D.O.
• Nicole Marie Sitzer, PSY.D.
• Lynda Gail Sizemore, RM
• Aaron Emil Skalicky, PH.D.
• Madison Marie Skalko

• Pain Medicine (Anesthesiology) Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pain Medicine (Anesthesiology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.