Bradley Kent Pittman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0072652 Issued in CO

Practice address

3292 Peoria St
Aurora, CO 80010-1517

Phone

(303) 761-1977

Fax

(303) 434-0247

NPI assigned

Nov 29, 2006

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1558727883
  Medicare reassignment NPD
• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lakewood, CO
  • NPI 1326203399
  NPD
• Metro Community Provider Network, Inc.

  dba STRIDE CHC - Peoria Pharmacy

  • Community/Retail Pharmacy
  • Aurora, CO
  • NPI 1255591780
  NPD
• Haskell Indian Health Center

  • Federal Public Health Clinic/Center
  • Lawrence, KS
  • NPI 1700915782
  NPD (past)
• Nortonville Medical Clinic an Operating Division of SFHC

  • Family Medicine Physician
  • Nortonville, KS
  • NPI 1801826771
  NPD (past)
• Oskaloosa Medical Clinic an Operating Division of SFHC

  • Family Medicine Physician
  • Oskaloosa, KS
  • NPI 1437180155
  NPD (past)
• Valley Falls Medical Clinic an Operating Division of SFHC

  • Geriatric Medicine (Family Medicine) Physician
  • Valley Falls, KS
  • NPI 1407887292
  NPD (past)
• Winchester Medical Clinic an Operating Division of SFHC

  • Family Medicine Physician
  • Winchester, KS
  • NPI 1518998301
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1740357524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W 29TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800338002",
            "telephone_number": "303-761-1977",
            "fax_number": "303-343-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101517",
            "telephone_number": "303-761-1977",
            "fax_number": "303-434-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 W Slaughter Ln Ste 490",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486208",
            "country_code": "US",
            "telephone_number": "512-282-8967",
            "fax_number": "512-406-7351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "BRADLEY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD067878L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4369",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307463503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DR.0072652",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307463502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Elise Pirrone
• Larissa Pisney
• Michael Francis Pisney, MA LPC CACIII
• Jennifer Ann Pitotti, M.D.
• Jessena Pittman-Garner, LMFT, LPC
• Deidra Natashia Lourin Pittman
• Jolee Pittman
• Madeleine Pittman, MS, OTR/L
• Thomas J Pittman, MD
• Brian Hardy Pitts, M.D.

• Family Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.