NPI 1194949883 · live from the CMS NPI Registry
Jonathan Lightfoot Brandon, M.D.
Radiology, Diagnostic Radiology in Lakewood, CO. National Provider Identifier 1194949883, active.
NPI record
| NPI | 1194949883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401 |
| Practice phone | 303-914-8800 |
| Mailing address | 1746 Cole Blvd Ste 150, Lakewood, CO 80401 |
| Enumerated | April 12, 2007 |
| Last updated | September 30, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Pediatric Radiology | 2085P0229X | 58835 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | 2013-01685 (NC) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | DR.0050215 (CO) |
| Radiology, Pediatric Radiology | 2085P0229X | 50215 (CO) |
| Radiology, Diagnostic Radiology | 2085R0202X | 58835 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.