BRADLEY GLEN DEMPSEY (MD) – Family Medicine Physician, NPI 1164656542

BRADLEY GLEN DEMPSEY (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 6206 (NE). The NPI Number for BRADLEY GLEN DEMPSEY (MD) is 1164656542

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY GLEN DEMPSEY (MD)
NPI
1164656542
Phone
(719) 557-5855
Address
902 LAKEVIEW AVE
Enumeration Date
13 May 2009
Last Update Date
25 October 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
7197764780
Graduation Year
2009 (17 years ago)
PAC ID
8123252855
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20131010001912
Address ID
CO808635008WO41XXX67XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for BRADLEY GLEN DEMPSEY (MD)

  • 902, Lakeview Avenue, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 810043597

    Phone: (719) 557-5855

    Fax: (719) 557-5097

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-06-10 • Largest payer in this snapshot: Axonics, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131010001912IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5938$0
99213Established patient office or other outpatient visit, 20-29 minutes1815$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up BRADLEY GLEN DEMPSEY (MD) by NPI?
Use NPI 1164656542 when you need to reference BRADLEY GLEN DEMPSEY (MD) in forms, claims, or directories.
Is BRADLEY GLEN DEMPSEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRADLEY GLEN DEMPSEY (MD)'s specialty in plain language?
Clinically, the directory lists BRADLEY GLEN DEMPSEY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRADLEY GLEN DEMPSEY (MD)?
We surface Pueblo, Colorado for BRADLEY GLEN DEMPSEY (MD) based on available NPPES addresses.
How can I contact BRADLEY GLEN DEMPSEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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