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DYNAMIC FAMILY MEDICINE PLLC
NPI 1639609894
Family Medicine in Colorado Springs, CO

Active since June 19, 2017CLIA 06D0891310 · Microscopy
5715 KITTERY DR, COLORADO SPRINGS, CO 80911(719) 392-3883(719) 390-6338 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

About Dynamic Family Medicine Pllc NPPES

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

DYNAMIC FAMILY MEDICINE PLLC (NPI 1639609894) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since June 2017. The organization holds a CLIA Microscopy certificate valid through April 19, 2027 and lists Jeremy Ronald Brown, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1639609894
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDYNAMIC FAMILY MEDICINE PLLC
Location Address5715 KITTERY DRColorado Springs, CO 80911-3551
Mailing Address5715 Kittery DrColorado Springs, CO 80911-3551 · (719) 392-3883 · Fax (719) 390-6338
Phone(719) 392-3883
Fax(719) 390-6338
Organization SubpartNo
Authorized OfficialJeremy Ronald BrownOwner/physician · (719) 392-3883
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1639609894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
5715 KITTERY DR, Colorado Springs, CO 80911
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0891310

Dynamic Family Medicine, PLLC · Colorado Springs, CO
Active · expires Apr 19, 2027
CLIA Number06D0891310
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Jeremy R. Brown
Laboratory Phone(719) 392-3883
Laboratory LocationDynamic Family Medicine, PLLC5715 Kittery Dr, Suite A, Colorado Springs, CO 80911
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

MRS. CARISSA DAWN BENEDICT P.A.-C.
Physician Assistant (Medical)
5715 KITTERY DR, SUITE A
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-3883
GRACE SMITH P.A.-C
Physician Assistant (Medical)
5715 KITTERY DR
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-3883
PETER J SMITH PA-C
Physician Assistant
5715 KITTERY DR, SIUTE B
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-3883
JEREMY RONALD BROWN D.O.
Family Medicine
5715 KITTERY DR
COLORADO SPRINGS, CO 80911
El Paso County (719) 392-3883

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 Dynamic Family Medicine PLLC's NPI number?

The NPI number for Dynamic Family Medicine PLLC is 1639609894. It was assigned to this organization in the NPPES registry on June 19, 2017.

Where is Dynamic Family Medicine PLLC located?

Dynamic Family Medicine PLLC is located at 5715 Kittery Dr, Colorado Springs, CO 80911. The listed phone number is (719) 392-3883.

What is Dynamic Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dynamic Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0891310) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dynamic Family Medicine PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.