Active NPI
Lyman R Brothers III, MD
- Urology Physician
- Steamboat Springs, CO
National Provider Identifier
1861585812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 20919
- Practice address
- 501 Anglers Dr
Ste 202
Steamboat Springs, CO 80487-8840 - Phone
- (970) 871-9710
- Fax
- (970) 871-9709
- NPI assigned
- Oct 2, 2006
- Last updated
- Apr 25, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 20919 | CO | Primary |
Addresses
Primary practice location
501 Anglers Dr
Ste 202
Steamboat Springs, CO 80487-8840
Mailing address
PO Box 880310
Steamboat Springs, CO 80488-0310
Phone (970) 871-9710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87877767 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20919 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Clinic P.C. | Urology | Past | Accepting new patients |
| Reid Hospital & Health Care Services, Inc | Past | Accepting new patients | |
| Reid Hospital & Health Care Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urology Physician
- Steamboat Springs, CO
- NPI 1073676052
-
dba Reid Health
- Internal Medicine Physician
- Richmond, IN
- NPI 1982633236
-
dba Reid Health
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1861585812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880310",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804880310",
"telephone_number": "970-871-9710",
"fax_number": "970-871-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ANGLERS DR",
"address_2": "STE 202",
"city": "STEAMBOAT SPRINGS",
"state": "CO",
"postal_code": "804878840",
"telephone_number": "970-871-9710",
"fax_number": "970-871-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "LYMAN",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "20919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87877767",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Steamboat Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.