Active NPI
Charles O Brantigan MD
- Vascular Surgery Physician
- Denver, CO
National Provider Identifier
1770624298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 16213
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01162130 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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
- James Chappell, MD
- Christine Mary Char, LCSW
- Charles D Glass
- Charles D. Glass, PH.D., LLC (Colorado Center for Anxiety & Stress-Related Disorders)
- Charles E. Frankum, Jr, MD, Professional LLC
- Ashereann Charles
- David M Charles, M.D.
- James Charles, CRNA
- Kristen Marie Charles
- Melanie Crayford Charles, RN
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.