Individual provider Active NPI

Sabrina Brody-Camp, MD

  • Otolaryngology Physician
  • Littleton, CO
National Provider Identifier
1740674167
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0068509 Issued in CO
Practice address
1501 W Mineral Ave Ste 270
Littleton, CO 80120-5715
Phone
(303) 795-5587
Fax
(303) 795-3404
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 202930 LA
Otolaryngology Physician 207Y00000X 286459 MA
Facial Plastic Surgery Physician 207YS0123X DR.0068509 CO
Otolaryngology Physician 207Y00000X 0068509 CO Primary

Addresses

Primary practice location

1501 W Mineral Ave Ste 270
Littleton, CO 80120-5715

Mailing address

1501 W Mineral Ave Ste 270
Littleton, CO 80120-5715
Phone (303) 795-5587

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220927000315 CO Practitioner - Otolaryngology 1759661200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

9348 Grand Cordera Pkwy
Suite 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision143
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0068509COMDOtolaryngology Physician
202930LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Vanguard Medical Specialists LLC Dermatology Current Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 1O1
Colorado Springs, CO 80919

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

Interoperability endpoints

  • Direct secure messaging: sabrina.brodycamp.p1@direct.vanguardmed.nextgenshare.com

Organizations & group practices 5

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1740674167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 270",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205715",
            "telephone_number": "303-795-5587",
            "fax_number": "303-795-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 270",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205715",
            "telephone_number": "303-795-5587",
            "fax_number": "303-795-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY-CAMP",
        "first_name": "SABRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "202930",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "286459",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CO",
            "license": "DR.0068509",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "0068509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.