Organization Active NPI

Colorado Pain Specialists PC

  • Interventional Pain Medicine Physician
  • Lakewood, CO
National Provider Identifier
1710956735
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COLORADO PAIN SPECIALISTS PC
Practice address
325 S Teller St
Suite 240
Lakewood, CO 80226-7388
Phone
(303) 268-4040
Fax
(303) 736-4147
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Bradley D Vilims, MDNPI 1881664944
Title
Physician/Owner
Phone
(303) 268-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

325 S Teller St
Suite 240
Lakewood, CO 80226-7388

Mailing address

3600 S Yosemite St
Ste 330
Denver, CO 80237-1812
Phone (303) 268-4040

Other identifiers 2

IdentifierTypeStateIssuer
C802448OtherCOMEDICARE ID-PIN
665046OtherCOBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2055562Colorado Pain Specialists, PC325 S Teller St, Suite 240, Lakewood, CO 80226Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

325 S Teller St
Ste 240
Lakewood, CO 80226

325 S Teller St
Lakewood, CO 80226
Phone (303) 274-2404

10170 Church Ranch Way
Unit 110
Westminster, CO 80021
Phone (303) 328-3400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1710956735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S YOSEMITE ST",
            "address_2": "STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371812",
            "telephone_number": "303-268-4040",
            "fax_number": "303-736-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S TELLER ST",
            "address_2": "SUITE 240",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267388",
            "telephone_number": "303-268-4040",
            "fax_number": "303-736-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PAIN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "VILIMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "303-268-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "C802448",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "665046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.