SCOTT A BRANDT (NPI# 1285603043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285603043 |
| Entity Type | Individual |
| Full Name | SCOTT A BRANDT |
| Credential | MD |
| Practice Address |
280 Main St Unit C-104 Edwards CO 81632 |
| Practice Telephone | 9707668245 |
| Practice Fax Number | 9704327065 |
| Mailing Telephone | (970) 766-8245 |
| Mailing Fax Number | 9704327065 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 36941 | CO | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
36941 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BLUE CROSS BLUE SHIELD | 604688 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629303391 | Scott Brandt | Counselor | 887 Potrero Ave, San Francisco, CA 94110-2869 | 2009-10-13 |
| 1255547253 | Scott Matthew Brandt | Anesthesiology | 3705 Medical Pkwy, Suite 570, Austin, TX 78705 | 2007-05-15 |
| 1871718015 | Scott David Brandt | Psychologist | 2360 E Bidwell St, Suite 107, Folsom, CA 95630-3406 | 2007-04-14 |
| 1700917234 | Scott M Brandt | Counselor | 413 Spring St, Chattanooga, TN 37405-3848 | 2007-03-08 |
| 1093803140 | Scott Stephen Brandt | Pharmacist | 221 W Main St, Montpelier, OH 43543-1015 | 2006-10-11 |
| Street Address |
280 MAIN ST UNIT C-104 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174155 | Riverwalk Periodontics LLC | Clinic/Center | 280 Main St, Quartz C-106, Edwards, CO 81632-8501 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415860 | Metamorphosis Ltd | Pain Medicine | 2140 Hollow Brook Dr Ste 110, Colorado Springs, CO 80918-1489 | 2020-10-22 |
| 1346800737 | Pikes Peak Spine & Joint LLC | Pain Medicine | 3604 Galley Rd Ste 202, Colorado Springs, CO 80909-4301 | 2019-06-18 |
| 1528524279 | Colorado Alternative Therapy | Pain Medicine | 1777 S Bellaire St Unit G, Denver, CO 80222-4306 | 2019-02-19 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1003909276 | Ricardo A Nieves | Pain Medicine | 1437 Riverside Ave, Fort Collins, CO 80524-4324 | 2006-10-02 |
| 1740239508 | Rocky Mountain Pain Consultants | Pain Medicine | 900 Potomac, Aurora, CO 80011 | 2006-05-09 |
| 1790749604 | Lisa G Pearson | Pain Medicine | 113 Latigo Lane, Suite D, Canon City, CO 81212-8115 | 2006-04-17 |
| 1881655827 | Floyd O Ring | Pain Medicine | 900 Potomac St, Aurora, CO 80011-6716 | 2006-03-29 |
| 1710956735 | Colorado Pain Specialists PC | Pain Medicine | 325 S Teller St, Suite 240, Lakewood, CO 80226-7388 | 2006-03-14 |
| 1679563092 | Christopher James Brian Frandrup | Pain Medicine | 10700 E Bethany Dr Ste 104, Aurora, CO 80014-2625 | 2005-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SCOTT A BRANDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.