Individual provider Active NPI

Briseida Romero Alejandre

  • Physician Assistant
  • Canon City, CO
National Provider Identifier
1710371604
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004916 Issued in CO
Practice address
1338 Phay Ave
Canon City, CO 81212-2311
Phone
(719) 285-2000
NPI assigned
Mar 27, 2015
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52317 CA
Physician Assistant 363A00000X PA.0004916 CO Primary

Addresses

Primary practice location

1338 Phay Ave
Canon City, CO 81212-2311

Mailing address

559 Vincent St
Attn: 21 Mdos/Sgof- Family Medicine
Peterson AFB, CO 80914-1540
Phone (719) 567-4162

Other practice location 1

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545

Other practice location 2

3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5147
Phone (719) 632-5700

Other practice location 3

559 Vincent St
ATTN: 21 MDOS/SGOF- Family Medicine
Peterson AFB, CO 80914-1541
Phone (719) 567-4162

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002531 CO Practitioner - Physician Assistant 0749500775 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usacs of Colorado IncGroup PAC ID 4981507571, 48 clinicians

Practice addresses (Care Compare)

7618 Dry Willow Way
Colorado Springs, CO 80908-1476
Phone (619) 307-1223

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 269-4786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52317CAMDPharmacist
PA.0004916COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Colorado, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Usacs of Colorado Inc CurrentSince Sep 4, 2019 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Sep 4, 2019 Accepting new patients
Usacs of Colorado Inc CurrentSince Sep 4, 2019 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jul 24, 2017 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jul 24, 2017 Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 776-3600

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Organizations & group practices 11

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1710371604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDOS/SGOF- FAMILY MEDICINE",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-567-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122311",
            "telephone_number": "719-285-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 J St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193626",
            "country_code": "US",
            "telephone_number": "916-453-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 N Academy Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175147",
            "country_code": "US",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 Vincent St",
            "address_2": "ATTN: 21 MDOS/SGOF- Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Peterson AFB",
            "state": "CO",
            "postal_code": "809141541",
            "country_code": "US",
            "telephone_number": "719-567-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO ALEJANDRE",
        "first_name": "BRISEIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52317",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.