Active NPI
Tamara Ann Bruski
- Health Maintenance Organization
- Denver, CO
National Provider Identifier
1760910301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 0012813
- Practice address
- 1776 S Jackson St Ste 704
Denver, CO 80210-3806 - Phone
- (720) 412-9648
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 0012813 | CO | |
| Health Maintenance Organization | 302R00000X | 0012813 | CO | Primary |
Addresses
Primary practice location
1776 S Jackson St Ste 704
Denver, CO 80210-3806
Mailing address
1776 S Jackson St Ste 704
Denver, CO 80210-3806
Phone (720) 412-9648
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012813 | CO | MD | Health Maintenance Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nos Counseling, LLC | Health Maintenance Organization | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Denver, CO
- NPI 1750813697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760910301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST STE 704",
"city": "DENVER",
"state": "CO",
"postal_code": "802103806",
"telephone_number": "720-412-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST STE 704",
"city": "DENVER",
"state": "CO",
"postal_code": "802103806",
"telephone_number": "720-412-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSKI",
"first_name": "TAMARA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CO",
"license": "0012813",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CO",
"license": "0012813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.