Individual provider Active NPI

Bradley K Draper, MD

  • Procedural Dermatology Physician
  • Highlands Ranch, CO
National Provider Identifier
1902827553
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
44390 Issued in CO
Practice address
206 W County Line Rd Ste 240
Highlands Ranch, CO 80129-2320
Phone
(303) 888-6426
Fax
(303) 302-1659
NPI assigned
Jul 21, 2006
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 44390 CO Primary

Addresses

Primary practice location

206 W County Line Rd Ste 240
Highlands Ranch, CO 80129-2320

Mailing address

206 W County Line Rd
Ste 340
Highlands Ranch, CO 80129-2321
Phone (303) 350-4500

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
I20060816000253 CO Practitioner - Dermatology 9133150881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alta Vista Dermatology, LLCGroup PAC ID 3971632464, 7 clinicians

Practice addresses (Care Compare)

206 W County Line Rd
Suite 340
Littleton, CO 80129-2321
Phone (303) 888-6426

Merit-based Incentive Payment System (MIPS)

Final score
80.84 of 100Reported as group
Quality
62.03
Improvement activities
40
Cost
86.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions333
Removal of skin cancer264
Removal or shaving of skin growth1-10
Skin biopsy36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44390COMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Dermatology, LLC Dermatology CurrentSince May 2, 2011 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Advanced Dermatology of Colorado, PC Dermatology PastSince Jul 1, 2018 Accepting new patients

Locations

206 W County Line Rd
#340
Highlands Ranch, CO 80129
Phone (303) 888-6426

206 W County Line Rd
Ste 240
Highlands Ranch, CO 80129
Phone (303) 346-9490

206 W County Line Rd
Ste 340
Highlands Ranch, CO 80129
Phone (303) 888-6426

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1902827553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD",
            "address_2": "STE 340",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292321",
            "telephone_number": "303-350-4500",
            "fax_number": "303-350-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD STE 240",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292320",
            "telephone_number": "303-888-6426",
            "fax_number": "303-302-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "44390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.