DYNAMIC FAMILY MEDICINE PLLC (NPI# 1639609894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639609894 |
| Entity Type | Organization |
| Organization Name | DYNAMIC FAMILY MEDICINE PLLC |
| Practice Address |
5715 Kittery Dr Colorado Springs CO 80911-3551 |
| Practice Telephone | (719) 392-3883 |
| Practice Fax Number | 7193906338 |
| Mailing Telephone | 7193923883 |
| Mailing Fax Number | 7193906338 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | JEREMY RONALD BROWN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7193923883 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5715 KITTERY DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80911-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
| 1912212093 | Jeremy Ronald Brown | Family Medicine | 5715 Kittery Dr, Colorado Springs, CO 80911-3551 | 2010-08-12 |
| 1417112848 | Carissa Dawn Benedict | Physician Assistant | 5715 Kittery Dr, Suite A, Colorado Springs, CO 80911-3551 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759208 | Jeremy Jorge Madrid Jr. | Specialist/Technologist | 7465 Dove Ceek Circle, Colorado Springs, CO 80911 | 2018-11-14 |
| 1033403472 | Ruth Schroeter Tate | Pharmacist | 6925 Fountain Mesa Rd, Fountain, CO 80911 | 2011-06-02 |
| 1053654319 | Center Pointe Family Medicine LLC | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911 | 2013-04-04 |
| 1194034314 | Ammon Jacobson | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911 | 2010-10-05 |
| 1801035639 | Catherine Jane Bottorff | Physical Therapist | 328 Main Street, Colorado Springs, CO 80911 | 2009-02-18 |
| 1649248014 | Department of The Army Usa Meddac/evans Army Community Hospital | Clinic/Center | Usa Meddac/evans Army Community Hospital, Ob/gyn Clinic 1650 Cochrane Cir, Ft Carson, CO 80911 | 2006-03-10 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1114069812 | John C Bahrenburg | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| 1174180103 | Peak Performance Ltd | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2019-05-24 |
| 1871636951 | Holly M Leslie | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-15 |
| Find all providers in zip 80911 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256818 | Summit Primary Care | Family Medicine | 75 Printers Pkwy Ste 200, Colorado Springs, CO 80910-3142 | 2020-05-18 |
| 1902437874 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907-4090 | 2020-01-30 |
| 1487285383 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 215, Colorado Springs, CO 80907-4090 | 2020-01-29 |
| 1568093847 | Optumcare Colorado Springs, LLC | Family Medicine | 3470 Centennial Blvd Ste 205, Colorado Springs, CO 80907-8669 | 2020-01-27 |
| 1699319590 | Front Range Urgent Care, PC | Family Medicine | 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 | 2019-11-04 |
| 1669014593 | Neida L. Blondet | Family Medicine | 1380 N Fillmore St, Suite 100, Colorado Springs, CO 80907-6464 | 2019-10-11 |
| 1952942526 | Choondai Asha Ramlall | Family Medicine | 2342 Spring Blossom Dr, Colorado Springs, CO 80910-8106 | 2019-10-03 |
| 1710427174 | Vitality Aesthetics Pllc | Family Medicine | 7680 Goddard St, Suite 100, Colorado Springs, CO 80920-8235 | 2017-03-06 |
| 1477096964 | Home Call Medical LLC | Family Medicine | 3925 Regency Dr, Colorado Springs, CO 80906-4318 | 2016-12-01 |
| 1922558188 | Paladina Health, LLC | Family Medicine | 9965 Federal Dr, Colorado Springs, CO 80921-3822 | 2016-10-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80911 |
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| 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.