Individual provider Active NPI

Brent J Jaster, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1740231398
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41530 Issued in CO
Practice address
1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Phone
(800) 651-7126
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41530 CO Primary

Addresses

Primary practice location

1777 S Harrison St Ste 1200
Denver, CO 80210-3955

Mailing address

1777 S Harrison St Ste 1200
Denver, CO 80210-3955
Phone (800) 651-7126

Other identifiers 1

IdentifierTypeStateIssuer
49456288MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR

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
41530COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1740231398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103955",
            "telephone_number": "800-651-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 1200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103955",
            "telephone_number": "800-651-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTER",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49456288",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "CLoud-based HIPAA compliant EHR",
            "address_1": "1777 S Harrison St Ste 1200",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802103955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.