DYNAMIC FAMILY MEDICINE PLLC
NPI 1639609894
Family Medicine in Colorado Springs, CO
NPI Status: Active since June 19, 2017
Contact Information
5715 KITTERY DR
COLORADO SPRINGS, CO
ZIP 80911
Phone: (719) 392-3883
Fax: (719) 390-6338
- Organization
- Family Medicine
- CLIA Number: 06D0891310
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-19-2027
About DYNAMIC FAMILY MEDICINE PLLC
This page provides the complete NPI Profile along with additional information for Dynamic Family Medicine Pllc, a primary care provider established in Colorado Springs, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639609894 assigned on June 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jeremy Ronald Brown Do (Owner/physician)
- NPI
- 1639609894
- Provider Name
- DYNAMIC FAMILY MEDICINE PLLC
- Entity Type
- Organization
- Location Address
- 5715 KITTERY DR COLORADO SPRINGS, CO 80911
- Location Phone
- (719) 392-3883
- Location Fax
- (719) 390-6338
- Mailing Address
- 5715 KITTERY DR COLORADO SPRINGS, CO 80911
- Mailing Phone
- (719) 392-3883
- Mailing Fax
- (719) 390-6338
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2017
- Last Update Date
- 07-21-2022
- Code Navigator
A primary care provider (PCP) like Dynamic Family Medicine Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0891310
- Facility Type
- Physician Office
- Certificate Effective Date
- April 20, 2025
- Certificate Expiration Date
- April 19, 2027
- Laboratory Director
- DR. JEREMY R. BROWN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dynamic Family Medicine Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 0 | 9 | 8 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 0 | 18 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1639609894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
PETER J SMITH PA-C
Physician Assistant
5715 KITTERY DR
SIUTE B
COLORADO SPRINGS, CO
ZIP 80911
MRS. CARISSA DAWN BENEDICT P.A.-C.
Physician Assistant
(Medical)
5715 KITTERY DR
SUITE A
COLORADO SPRINGS, CO
ZIP 80911
JEREMY RONALD BROWN D.O.
Family Medicine
5715 KITTERY DR
COLORADO SPRINGS, CO
ZIP 80911
GRACE SMITH P.A.-C
Physician Assistant
(Medical)
5715 KITTERY DR
COLORADO SPRINGS, CO
ZIP 80911
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639609894, enumerated as an "organization" on June 19, 2017.
The provider is located at 5715 KITTERY DR COLORADO SPRINGS, CO 80911 and the phone number is (719) 392-3883.
Family Medicine with taxonomy code 207Q00000X.
