Active NPI
Brendan Roerts, ACUPUNCTURIST
- Acupuncturist
- Aspen, CO
National Provider Identifier
1821394727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 167
- Practice address
- 1560 Medicine Bow Rd
Aspen, CO 81611-9621 - Phone
- (970) 922-0432
- Fax
- (970) 922-0432
- NPI assigned
- Feb 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 167 | CO | Primary |
Addresses
Primary practice location
1560 Medicine Bow Rd
Aspen, CO 81611-9621
Mailing address
1560 Medicine Bow Rd
Aspen, CO 81611-9621
Phone (970) 922-0432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1821394727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 MEDICINE BOW RD",
"city": "ASPEN",
"state": "CO",
"postal_code": "816119621",
"telephone_number": "970-922-0432",
"fax_number": "970-922-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 MEDICINE BOW RD",
"city": "ASPEN",
"state": "CO",
"postal_code": "816119621",
"telephone_number": "970-922-0432",
"fax_number": "970-922-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROERTS",
"first_name": "BRENDAN",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-10",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.