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DR. BRENT JAMES DEIBERT MD NPI 1013437029


NPI Information

NPI: 1013437029
Provider Name: DR. BRENT JAMES DEIBERT, MD
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
4745 ARAPAHOE AVE
BOULDER, CO
ZIP 80303
Phone: (303) 444-3000
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DR. Brent James Deibert, MD is a retina specialist ophthalmology in Boulder, CO with 7 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Brent James Deibert, MD NPI is 1013437029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2017

The provider's business location address is:

4745 ARAPAHOE AVE
BOULDER, CO
ZIP 80303-080
Phone: (303) 444-3000
Fax: (303) 444-3226

The NPI 1013437029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology2021-01255NORTH CAROLINANo
2207WX0107XOphthalmologyRetina SpecialistDR.0070550COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.