Individual provider Active NPI

Brian Robert Bishop, MD

  • Internal Medicine Physician
  • Englewood, CO
National Provider Identifier
1912907940
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38281 Issued in CO
Practice address
3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone
(720) 833-0400
Fax
(303) 788-7437
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38281 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945

Mailing address

3601 S Clarkson St Ste 100
Englewood, CO 80113-3945
Phone (720) 833-0400

Other identifiers 1

IdentifierTypeStateIssuer
47572582MedicaidCO

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
I20101202000771 CO Practitioner - Internal Medicine 6507052594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3601 S Clarkson St
Suite 100
Englewood, CO 80113-3945
Phone (720) 833-0400

Merit-based Incentive Payment System (MIPS)

Final score
22.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne Day Seibert MD PC Internal Medicine Current Accepting new patients

Locations

601 E Hampden Ave
Ste 160
Englewood, CO 80113
Phone (303) 788-4662

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1912907940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "720-833-0400",
            "fax_number": "303-788-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133945",
            "telephone_number": "720-833-0400",
            "fax_number": "303-788-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "38281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47572582",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.