Individual provider Active NPI

Angela Mae Bryant, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1750530986
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005180 Issued in CO
Practice address
4809 Argonne St Ste 100
Denver, CO 80249-6835
Phone
(303) 344-8700
Fax
(303) 702-1623
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA.0005180 CO Primary

Addresses

Primary practice location

4809 Argonne St Ste 100
Denver, CO 80249-6835

Mailing address

4809 Argonne St Ste 100
Denver, CO 80249-6835
Phone (303) 344-8700

Other practice location 1

205 S Main St Ste B
Longmont, CO 80501-1714
Phone (303) 772-6244

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612001506 CO Practitioner - Physician Assistant 0143271940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

8758 Wolff CT
200 Westminister Clinic
Westminster, CO 80031-6904
Phone (303) 403-6650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005180COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 12, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 12, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC Single Specialty Past Accepting new patients

Locations

8758 Wolff Ct
Ste 200
Westminster, CO 80031
Phone (303) 403-6650

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1750530986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496835",
            "telephone_number": "303-344-8700",
            "fax_number": "303-702-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496835",
            "telephone_number": "303-344-8700",
            "fax_number": "303-702-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805011714",
            "country_code": "US",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANGELA",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.