Organization Active NPI

Charles O Brantigan MD

  • Vascular Surgery Physician
  • Denver, CO
National Provider Identifier
1770624298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
16213 Issued in CO
Legal business name
CHARLES O BRANTIGAN MD
Practice address
2253 Downing St
Denver, CO 80205-5234
Phone
(303) 830-8822
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles O Brantigan, MD
Title
Owner
Phone
(303) 830-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 16213 CO Primary

Addresses

Primary practice location

2253 Downing St
Denver, CO 80205-5234

Mailing address

2253 Downing St
Denver, CO 80205-5234
Phone (303) 830-8822

Other identifiers 1

IdentifierTypeStateIssuer
01162130MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770624298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-830-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-830-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES O BRANTIGAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANTIGAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-830-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "16213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01162130",
            "state": "CO"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.