Brent Penland MD P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34221 Issued in CO

Legal business name

BRENT PENLAND MD P.C.

Practice address

10099 Ridgegate Pkwy
Suite 120
Lone Tree, CO 80124-5531

Phone

(303) 790-4556

Fax

(303) 790-4552

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Brent Penland, M.D.

Title

Physician

Phone

(303) 790-4556

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1962691519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "SUITE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-790-4556",
            "fax_number": "303-790-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "SUITE 120",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-790-4556",
            "fax_number": "303-790-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT PENLAND MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-790-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "34221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01342211",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braegen Enterprises
• Judy Elise Branch, MA, LPCC
• Adam James Brand, DO
• Eric T. Bratz
• Brent C Sigler MD PC
• Brent Sigler, MD PC (A Center for Aesthetic & Diagnositic Dermatology)
• Bronwyn Victoria Brewer
• Natalie Libertella Brewster, M.D.
• Dana Lynn Brickell, WHNP-BC
• Riley Bricker

• Primary Care Clinic/Center in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.