Active NPI
Layne C Bracy, MD
- Family Medicine Physician
- Commerce City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0040508
- Practice address
- 6255 Quebec Pkwy
Commerce City, CO 80022-4812 - Phone
- (303) 286-8900
- Fax
- (303) 286-8260
- NPI assigned
- Dec 15, 2005
- Last updated
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61598995 | WA | |
| Family Medicine Physician | 207Q00000X | DR.0040508 | CO | Primary |
Addresses
Primary practice location
6255 Quebec Pkwy
Commerce City, CO 80022-4812
Mailing address
203 S Rollie Ave
Billing Dept - Credentialist
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other practice location 1
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66337852 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Columbia University College of Physicians and Surgeons, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0040508 | CO | MD | Family Medicine Physician |
| MD61598995 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- lbracy680946@direct.peacehealth.org
Organizations & group practices 2
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.
-
dba St. John Medical Center - PeaceHealth Medical Group
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
Family Medicine
-
dba St. John Medical Center - Outpatient Therapy
- Physical Therapist
- Longview, WA
- NPI 1275501538
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Assured Home Health & Hospice
- Home Health Agency
- Centralia, WA
- NPI 1154397305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1780660464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ROLLIE AVE",
"address_2": "BILLING DEPT - CREDENTIALIST",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211508",
"telephone_number": "303-286-4560",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 QUEBEC PKWY",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800224812",
"telephone_number": "303-286-8900",
"fax_number": "303-286-8260"
}
],
"practiceLocations": [
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-414-2385",
"fax_number": "360-414-2386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRACY",
"first_name": "LAYNE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61598995",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0040508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66337852",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.