Individual provider Active NPI

Bradley D Vilims, MD

  • Interventional Pain Medicine Physician
  • Lakewood, CO
National Provider Identifier
1881664944
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
39054 Issued in CO
Practice address
325 Teller St
Suite 240
Lakewood, CO 80226-1606
Phone
(303) 268-4040
Fax
(303) 736-4147
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 39054 CO
Interventional Pain Medicine Physician 208VP0014X 39054 CO Primary

Addresses

Primary practice location

325 Teller St
Suite 240
Lakewood, CO 80226-1606

Mailing address

3600 S Yosemite St
Ste 330
Denver, CO 80237-1812
Phone (303) 268-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39054COMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Pain Management LLC Pain Medicine PastSince May 7, 2007 Accepting new patients
Colorado Pain Specialists PC Interventional Pain Medicine Past 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1881664944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S YOSEMITE ST",
            "address_2": "STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371812",
            "telephone_number": "303-268-4040",
            "fax_number": "303-736-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 TELLER ST",
            "address_2": "SUITE 240",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261606",
            "telephone_number": "303-268-4040",
            "fax_number": "303-736-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILIMS",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "39054",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "39054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.