BENJAMIN JOSHUA BRYDEN (M.D.) – Family Medicine Physician, NPI 1083976385
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,660 FAMILY PRACTICE in CO
Provider Addresses for BENJAMIN JOSHUA BRYDEN (M.D.)
902 LAKEVIEW AVE
PUEBLO, CO 810043597
Phone: (719) 557-5855
Fax: (719) 557-4652
Type: Mailing
401 RAILROAD ST W
MISSODA, MT 59802
Phone: (719) 557-5855
Fax: (719) 557-4652
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141111000215 | I | Family Practice | TX | TBD |
| I20220727004085 | I | Obstetrics/Gynecology | WA | TBD |
| I20241017001614 | I | Family Practice | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| - | MT | |
| - | WI | |
| Nurse Practitioner | CA | |
| Family Practice | WA | |
| - | MT | |
| Clinical Social Worker | MT | |
| Clinical Social Worker | MT | |
| Physician Assistant | MT | |
| Clinical Social Worker | MT |
Reviews
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