IndividualActive
Ricky Bretthauer
NPI 1164575072 · Physician Assistant · Ft Carson, CO
Provider details
- NPI number
- 1164575072
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1853 Oconnell Blvd
Bldg 1042
Ft Carson, CO 80913-4055
Phone: (719) 524-4670
Street-level locationGet directions
Mailing address
5510 Whiskey River Dr
Colorado Springs, CO 80922-4110
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.