Look up the most recent NPI and PECOS records

John Adair Prall

Neurological Surgery

Allopathic & Osteopathic Physicians

7780 S Broadway, Suite 350, Littleton, CO 80122-2648

PECOS Enrollment

This provider is enrolled in PECOS as JOHN PRALL.

Based on the most recent information from CMS, provider John Adair Prall is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1316975832
Provider Type
Individual
Full Name
Prall, John Adair
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/30/2006
Last Updated
3/7/2024

Contact Information

Practice Location

7780 S Broadway, Suite 350, Littleton, CO 80122-2648

(720) 638-7500

(303) 649-7030

Mailing Location

7780 S Broadway Ste 350, Littleton, CO 80122-2641

(720) 638-7500

(720) 583-6770

Provider Taxonomies

Code	Description	License
Code 207T00000X Primary	Description Neurological Surgery Allopathic & Osteopathic Physicians	License DR.0036246 Colorado
Code 207T00000X	Description Neurological Surgery Allopathic & Osteopathic Physicians	License 36243 Colorado

Provider Identifiers

ID	Description	Issuer
ID 73434256	Description Medicaid	Issuer Unlisted Colorado
ID 01362433	Description Medicaid	Issuer Unlisted Colorado

John Adair Prall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Neurosurgery One Pc

Neurosurgery One Pc

Vansickle, David P.

Beckman, Joshua Marshall

Boone, Paul D

Portercare Adventist Health System

Porter Adventist Health System

Neurosurgery One Pc

Neurosurgery One Pc

Bohnen, Angela