Organization Active NPI

Gary Brownpc

Doing business as lotusholisitcmed

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1811181357
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39722 Issued in CO
Legal business name
GARY BROWNPC
Doing business as
lotusholisitcmed
lotusholisticmed
Practice address
4419 Centennial Blvd # 511
Colorado Springs, CO 80907-3739
Phone
(719) 306-0801
NPI assigned
Aug 28, 2007
Organization subpart
Yes
Parent organization
GARY BROWN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Gary Brown, DO
Title
President
Phone
(719) 306-0801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 39722 CO Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

4419 Centennial Blvd # 511
Colorado Springs, CO 80907-3739

Mailing address

2141 N Academy Cir
Colorado Springs, CO 80909-1686
Phone (719) 597-4200

Other names 2

  • lotusholisitcmed Doing business as
  • lotusholisticmed Doing business as

National Provider Directory

National Provider Directory
Part of
Gary Brownpc

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1811181357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091686",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 CENTENNIAL BLVD # 511",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073739",
            "telephone_number": "719-306-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BROWNPC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY BROWN PC",
        "enumeration_date": "2007-08-28",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-306-0801",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39722",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lotusholisitcmed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lotusholisticmed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lotusholisticmed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.