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MR. RICKY WILLIAM BRETTHAUER
NPI 1164575072
Physician Assistant in Ft Carson, CO

Active since January 22, 2007
1853 OCONNELL BLVD, BLDG 1042, FT CARSON, CO 80913(719) 524-4670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ricky William Bretthauer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY WILLIAM BRETTHAUER (NPI 1164575072) is an individual physician assistant in Ft Carson, Colorado and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164575072
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RICKY WILLIAM BRETTHAUER
Location Address1853 OCONNELL BLVD, BLDG 1042Ft Carson, CO 80913-4055
Mailing Address5510 Whiskey River DrColorado Springs, CO 80922-4110 · (719) 550-9196
Phone(719) 524-4670
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164575072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1853 OCONNELL BLVD, Ft Carson, CO 80913
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORI LETITIA PETERSON R.N.
Registered Nurse (Case Management)
1853 OCONNELL BLVD, BLDG. 1042
FORT CARSON, CO 80913
El Paso County (719) 524-4395
MS. KIMBERLY ANN SANDUSKY
Social Worker (Clinical)
1853 OCONNELL BLVD, BLDG 1056
FORT CARSON, CO 80913
El Paso County (719) 526-6748
MS. KYRA LEE TURNER-SCHLIEMAN NP-C
Nurse Practitioner (Adult Health)
1853 OCONNELL BLVD
FT CARSON, CO 80913
El Paso County (719) 524-5577
MS. SUSAN J ROETH LCSW
Social Worker (Clinical)
1853 OCONNELL BLVD, BLDG 1056, ROOM 9
FORT CARSON, CO 80913
El Paso County (719) 526-6823
MS. MARY LYNN MARSH PA-C
Nurse Practitioner (Psychiatric/Mental Health)
1853 OCONNELL BLVD
FORT CARSON, CO 80913
El Paso County (719) 524-5577
DR. MICHAEL J ANDREWS PHARMD, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1853 OCONNELL BLVD, BULIDING 1042
FORT CARSON, CO 80913
El Paso County (719) 526-8732
DALTON MAPLES JR. PA-C
Physician Assistant
1853 OCONNELL BLVD, BUILDING 1042
FORT CARSON, CO 80913
El Paso County (719) 526-9408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricky Bretthauer's NPI number?

The NPI number for Ricky Bretthauer is 1164575072. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Ricky Bretthauer located?

Ricky Bretthauer practices at 1853 Oconnell Blvd Bldg 1042, Ft Carson, CO 80913. The listed phone number is (719) 524-4670.

What is Ricky Bretthauer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ricky Bretthauer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.