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BRICK CITY AESTHETICS LLC
NPI 1427755339
Nurse Practitioner in Trinidad, CO

Active since February 10, 2023
328 S BONAVENTURE AVE STE 2, TRINIDAD, CO 81082(719) 680-3509 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brick City Aesthetics Llc NPPES

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

BRICK CITY AESTHETICS LLC (NPI 1427755339) is a healthcare organization registered as a nurse practitioner in Trinidad, Colorado and active in the NPI registry since February 2023. The organization lists Dario Byung San Roman, Medical Director/co-owner, as its authorized official.

NPPES Registry Identity

NPI1427755339
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBRICK CITY AESTHETICS LLC
Location Address328 S BONAVENTURE AVE STE 2Trinidad, CO 81082-2086
Mailing Address215 Corundum RdTrinidad, CO 81082-9413 · (719) 680-3509
Phone(719) 680-3509
Organization SubpartNo
Authorized OfficialDario Byung San RomanMedical Director/co-owner · (719) 289-1139
Enumeration DateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
✔ NPI 1427755339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
328 S BONAVENTURE AVE STE 2, Trinidad, CO 81082
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Other Names 1

Doing Business AsBrick City Aesthetics Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
328 S BONAVENTURE AVE STE 2
TRINIDAD, CO 81082
Las Animas County (719) 364-6487
SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Dermatology
328 S BONAVENTURE AVE STE 2
TRINIDAD, CO 81082
Las Animas County (719) 574-0518

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 Brick City Aesthetics LLC's NPI number?

The NPI number for Brick City Aesthetics LLC is 1427755339. It was assigned to this organization in the NPPES registry on February 10, 2023.

Where is Brick City Aesthetics LLC located?

Brick City Aesthetics LLC is located at 328 S Bonaventure Ave Ste 2, Trinidad, CO 81082. The listed phone number is (719) 680-3509.

What is Brick City Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Brick City Aesthetics LLC was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.