Individual provider Active NPI

Ruediger Bracht, MD

  • Surgery Physician
  • Littleton, CO
National Provider Identifier
1730284340
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33353 Issued in CO
Practice address
7720 S Broadway
Suite 410
Littleton, CO 80122-2632
Phone
(303) 577-9005
Fax
(303) 577-9006
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 33353 CO Primary

Addresses

Primary practice location

7720 S Broadway
Suite 410
Littleton, CO 80122-2632

Mailing address

3333 S Bannock St
Suite 350
Englewood, CO 80110-2432
Phone (303) 957-1310

Other identifiers 1

IdentifierTypeStateIssuer
01333533MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruediger.bracht@surgone.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33353COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgone, PC Surgery Current Accepting new patients

Locations

1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669

3333 S Bannock St
Ste 350
Englewood, CO 80110
Phone (303) 957-1310

401 W Hampden Pl
Ste 210
Englewood, CO 80110
Phone (303) 722-6960

Interoperability endpoints

  • Direct secure messaging: ruediger.bracht@surgone.directbygreenway.com

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1730284340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST",
            "address_2": "SUITE 350",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102432",
            "telephone_number": "303-957-1310",
            "fax_number": "303-761-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY",
            "address_2": "SUITE 410",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222632",
            "telephone_number": "303-577-9005",
            "fax_number": "303-577-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHT",
        "first_name": "RUEDIGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "33353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01333533",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruediger.bracht@surgone.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7720 S Broadway",
            "address_2": "Suite 410",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801222632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.