Individual provider Active NPI

Wendy J. Bannigan, DO

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Lone Tree, CO
National Provider Identifier
1952585879
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
DR.0046454 Issued in CO
Practice address
10101 Ridgegate Center
Lone Tree, CO 80124-9810
Phone
(720) 225-1900
Fax
(303) 306-7753
NPI assigned
Dec 27, 2007
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X DR.0046454 CO Primary

Addresses

Primary practice location

10101 Ridgegate Center
Lone Tree, CO 80124-9810

Mailing address

2349 N Lafayette St
Denver, CO 80205-5341
Phone (303) 525-6314

Other identifiers 1

IdentifierTypeStateIssuer
90006739MedicaidCO

Other names 1

  • Wendy J. McBride Professional name

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
I20080910000324 CO Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7911073275 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Pediatrics PLLC Pediatric Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Longs Peak Emergency Physicians, PC Past Accepting new patients
Boulder Emergency Physicians PC Past Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1952585879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055341",
            "telephone_number": "303-525-6314",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 RIDGEGATE CENTER",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249810",
            "telephone_number": "720-225-1900",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNIGAN",
        "first_name": "WENDY",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CO",
            "license": "DR.0046454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "MCBRIDE",
            "middle_name": "J.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.