NPIMap

Organization Active NPI

Redwood Medical LLC

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1861256091
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REDWOOD MEDICAL LLC
Practice address
1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone
(720) 485-3178
NPI assigned
Feb 8, 2024
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Brent HerronNPI 1437544558
Title
Owner
Phone
(303) 249-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950

Mailing address

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721001988 CO Part B Supplier - Clinic/Group Practice 0547620593 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Aurora, CO; Denver, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1411 S Potomac St
Ste 300
Aurora, CO 80012
Phone (303) 531-4910

3400 E Bayaud Ave
Ste 333
Denver, CO 80209
Phone (720) 485-3178

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1861256091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-485-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-485-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-249-0908"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.