Individual provider Active NPI

Brandon Stucky, MD

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1841729217
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.74669 Issued in CO
Practice address
2356 Meadows Blvd Ste 140B
Castle Rock, CO 80109-8410
Phone
(303) 218-7774
Fax
(303) 660-5065
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-09263 KS
Family Medicine Physician 207Q00000X 04-43043 KS
Family Medicine Physician 207Q00000X DR.74669 CO Primary

Addresses

Primary practice location

2356 Meadows Blvd Ste 140B
Castle Rock, CO 80109-8410

Mailing address

2356 Meadows Blvd Ste 140B
Castle Rock, CO 80109-8410
Phone (303) 218-7774

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 858-3460

Other practice location 2

911 N Main St
Garden City, KS 67846-5561
Phone (620) 276-8201

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422003690 CO Practitioner - Family Practice 7012288186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

2353 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (720) 455-3750

2356 Meadows Blvd
Castle Rock, CO 80109-8410
Phone (303) 218-7774

2360 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (303) 715-7106

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.74669COMDFamily Medicine Physician
94-09263KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 16, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 16, 2025 Accepting new patients
Commonspirit Kansas, Inc. Family Medicine Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109
Phone (303) 218-7774

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1841729217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "303-660-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "303-660-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-858-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 N Main St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465561",
            "country_code": "US",
            "telephone_number": "620-276-8201",
            "fax_number": "620-276-8739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKY",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-43043",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.74669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.