Organization Active NPI

Front Range Dermatology

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1982614640
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24444 Issued in CO
Legal business name
FRONT RANGE DERMATOLOGY
Practice address
950 E Harvard Ave
#200
Denver, CO 80210-7006
Phone
(303) 744-3144
Fax
(303) 744-3145
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Steven Adley Brenman, D.O.NPI 1245240902
Title
President
Phone
(303) 744-3144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 24444 CO Primary

Addresses

Primary practice location

950 E Harvard Ave
#200
Denver, CO 80210-7006

Mailing address

950 E Harvard Ave
#200
Denver, CO 80210-7006
Phone (303) 744-3144

Other identifiers 1

IdentifierTypeStateIssuer
01244441MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1982614640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107006",
            "telephone_number": "303-744-3144",
            "fax_number": "303-744-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107006",
            "telephone_number": "303-744-3144",
            "fax_number": "303-744-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BRENMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-744-3144",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "24444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01244441",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.