Active NPI
Brett Blakeway, MD
- Anesthesiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- Q2974
- Practice address
- 4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640 - Phone
- (210) 615-1187
- Fax
- (210) 614-2180
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 28504 | OK | |
| Anesthesiology Physician | 207L00000X | DR.0059908 | CO | |
| Anesthesiology Physician | 207L00000X | Q2974 | TX | Primary |
Addresses
Primary practice location
4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640
Mailing address
PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 615-1187
Other practice location 1
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3492886-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000
Hospital & facility affiliations
- Centura Health-St Anthony North Health Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28504 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Northern Colorado Anesthesia Professionals PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Boulder Valley Anesthesiology, PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Boulder, CO
- NPI 1962431668
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1851389613
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Gastroenterology Physician
- Durango, CO
- NPI 1255766028
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1992099386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34717",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782654717",
"telephone_number": "210-615-1187",
"fax_number": "210-614-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR",
"address_2": "SUITE 3100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295640",
"telephone_number": "210-615-1187",
"fax_number": "210-614-2180"
}
],
"practiceLocations": [
{
"address_1": "14300 Orchard Pkwy",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800239206",
"country_code": "US",
"telephone_number": "720-627-4479",
"fax_number": "720-627-3382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKEWAY",
"first_name": "BRETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "28504",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0059908",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q2974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3492886-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.