Individual provider Active NPI

Brandon M Teska, DO, PHD

  • Family Medicine Physician
  • Golden, CO
National Provider Identifier
1912466772
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64919 Issued in CO
Practice address
2801 Youngfield St Ste 210
Golden, CO 80401-2202
Phone
(720) 915-4266
Fax
(720) 669-8987
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64919 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 210
Golden, CO 80401-2202

Mailing address

2801 Youngfield St Ste 210
Golden, CO 80401-2202
Phone (720) 915-4266

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
I20220627002360 CO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2163752197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64919COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 15, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Sep 15, 2024 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Brighton Community Hospital Association Past Accepting new patients

Locations

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

1960 N Ogden St
Ste 600
Denver, CO 80218
Phone (303) 566-0660

Organizations & group practices 5

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1912466772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 210",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012202",
            "telephone_number": "720-915-4266",
            "fax_number": "720-669-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 210",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012202",
            "telephone_number": "720-915-4266",
            "fax_number": "720-669-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKA",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "64919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.