Individual provider Active NPI

Bradley Tepper, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1811675499
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998913-NP Issued in CO
Practice address
10585 W Glasgow Ave
Littleton, CO 80127-3464
Phone
(720) 690-7362
NPI assigned
Jul 5, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998913-NP CO Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.1621882 CO

Addresses

Primary practice location

10585 W Glasgow Ave
Littleton, CO 80127-3464

Mailing address

10585 W Glasgow Ave
Littleton, CO 80127-3464
Phone (720) 690-7362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913004264 CO Practitioner - Nurse Practitioner 5597129288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1621882COMDPsychiatric/Mental Health Registered Nurse
APN.0998913-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Psychiatry LLC Psychiatric/Mental Health CurrentSince Feb 11, 2024 Accepting new patients
Balanced Mental Wellness LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

3470 S Sherman St
Ste 3
Englewood, CO 80113
Phone (303) 481-3489

26 W Dry Creek Cir
Ste 600
Littleton, CO 80120
Phone (303) 550-0689

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.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1811675499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 W GLASGOW AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273464",
            "telephone_number": "720-690-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 W GLASGOW AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273464",
            "telephone_number": "720-690-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "BRADLEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998913-NP",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.1621882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.