REGAN R BROCKMEYER (NPI# 1770743460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770743460 |
| Entity Type | Individual |
| Full Name | REGAN R BROCKMEYER |
| Credential | DO |
| Practice Address |
340 Peak One Dr. Frisco CO 80443-0738 |
| Mailing Address |
Po Box 5788 Denver CO 80217-5788 |
| Practice Telephone | 9706688123 |
| Mailing Telephone | 3032021280 |
| Mailing Fax Number | 3032021281 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 258784 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 42371767 | 05 | |
| AZ | 816333 | 05 | |
| WY | PENDING | 05 | |
| PACIFICARE SECURE HORIZONS | 20326023101 | 01 | |
| UT | PENDING | 05 | |
| RR MEDICARE | P00966243 | 01 |
| Street Address |
340 PEAK ONE DR. |
| City | FRISCO |
| State | CO |
| Zip Code | 80443-0738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184698284 | Marshall Esty Denkinger Jr. | Family Medicine | 340 Peak One Dr., Frisco, CO 80443-0738 | 2006-02-15 |
| 1477013860 | Kate Jolene Bates | Dietitian, Registered | 340 Peak One Dr., Frisco, CO 80443 | 2019-03-21 |
| 1114268109 | Lindsey Hester | Dietitian, Registered | 340 Peak One Dr., Frisco, CO 80443 | 2013-03-15 |
| 1669628723 | Cathleen Renee Molloy | Dietitian, Registered | 340 Peak One Dr., Frisco, CO 80443 | 2008-08-08 |
| 1811156656 | Jack Gervais | Emergency Medicine | 340 Peak One Dr., Frisco, CO 80443-0738 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254215 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 340 Peak Oned Drive, Frisco, CO 80443 | 2020-10-30 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1720611882 | Michael Shanser | Counselor | 101 West Main Suite 301, Frisco, CO 80443 | 2020-02-18 |
| 1407499205 | Kerri Hudgins | Dental Hygienist | 360 Peak One Drive, Suite 325, # 4337, Frisco, CO 80443 | 2019-10-24 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1881241172 | Shannon Maser | Chiropractor | 117 S. 6th Ave, Unit 2, Frisco, CO 80443 | 2019-08-21 |
| 1508421785 | Juli M Joyce | Preventive Medicine | 360 Peak One Dr #230, Frisco, CO 80443 | 2019-05-03 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1427520469 | Claire Melissa Mann | Nurse Practitioner | 984 Ten Mile Dr., Suite 3, Frisco, CO 80443 | 2018-12-31 |
| Find all providers in zip 80443 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477946002 | Clinic 21 of Collin County, Pllc | Emergency Medicine | 5680 Frisco Square Blvd Ste 1200, Frisco, TX 75034-3300 | 2015-03-06 |
| 1871889311 | Navid Behrooz | Emergency Medicine | 544 Bannerdale Blvd, Frisco, TX 75036-4792 | 2011-06-23 |
| 1922292754 | Carrie E De Moor | Emergency Medicine | 4701 Paxton Ln, Frisco, TX 75034-2209 | 2007-09-05 |
| 1821298381 | Jose Rafael Muniz | Emergency Medicine | 5300 Town and Country Blvd Ste 260, Frisco, TX 75034-6913 | 2007-07-23 |
| 1205053964 | Meera Chopra | Emergency Medicine | 6000 Hackberry Ct, Frisco, TX 75034-5134 | 2007-04-20 |
| 1518085299 | Steven Eric Martz | Emergency Medicine | 5378 Beacon Hill Dr, Frisco, TX 75034-1721 | 2007-03-27 |
| 1053337543 | William Joseph Morrissey | Emergency Medicine | 11550 Legacy Dr, #420, Frisco, TX 75034 | 2006-07-15 |
| 1902842172 | Sri Venkateswara Ch Yedlapalli | Emergency Medicine | 3520 Preston Rd, Suite 108, Frisco, TX 75034-9487 | 2006-06-22 |
| 1083656433 | Allan Dean Packer | Emergency Medicine | 10309 Ashmont Dr, Frisco, TX 75035 | 2006-06-11 |
| 1932154275 | Kenneth Wayne Deeb | Emergency Medicine | 5298 Lago Vista Ln, Frisco, TX 75034-1210 | 2006-05-24 |
| Find all providers in FRISCO | ||||
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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.