Organization Active NPI

Scott Brassfield MD PC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1740426170
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO22644 Issued in CO
Legal business name
SCOTT BRASSFIELD MD PC
Practice address
3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115
Phone
(719) 574-3600
Fax
(719) 574-1686
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Scott Brassfield, MD
Title
Physicians
Phone
(719) 574-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CO22644 CO Primary

Addresses

Primary practice location

3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115

Mailing address

3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115
Phone (719) 574-3600

Other identifiers 2

IdentifierTypeStateIssuer
01226448MedicaidCO
22644OtherCOSTATE LICENSE NUMBER

Other names 1

  • THOMAS SCOTT BRASSFIELD MD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000636 CO Part B Supplier - Clinic/Group Practice 1557418563 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

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
06D0517728T Scott Brassfield MD3220 N Academy Blvd 5, Colorado Springs, CO 80917Provider-performed microscopyAug 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Scott Brassfield MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3220 N Academy Blvd
Ste 5
Colorado Springs, CO 80917
Phone (719) 574-3600

Practitioners & affiliated clinicians

Practitioners 1

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1740426170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD",
            "address_2": "5",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-574-3600",
            "fax_number": "719-574-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD",
            "address_2": "5",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-574-3600",
            "fax_number": "719-574-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BRASSFIELD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIANS",
        "authorized_official_telephone_number": "719-574-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226448",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "22644",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMAS SCOTT BRASSFIELD MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.