Individual provider Active NPI

Jason Brabson

  • Driver
  • Fort Collins, CO
National Provider Identifier
1841962685
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
MTC-00001 Issued in CO
Practice address
200 E Swallow Rd
Fort Collins, CO 80525-2540
Phone
(970) 690-3338
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X MTC-00001 CO Primary

Addresses

Primary practice location

200 E Swallow Rd
Fort Collins, CO 80525-2540

Mailing address

200 E Swallow Rd
Fort Collins, CO 80525-2540
Phone (970) 690-3338

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

State licenses

LicenseStateTypeSpecialty
MTC-00001COMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Paratransit LLC CurrentSince Oct 17, 2021 Accepting new patients
Heart & Soul Paratransit LLC PastSince Oct 5, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1841962685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SWALLOW RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252540",
            "telephone_number": "970-690-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E SWALLOW RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252540",
            "telephone_number": "970-690-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABSON",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "MTC-00001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.