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DINA BRUDENELL MD PROFESSIONAL LLC NPI 1215110630


NPI Information

NPI: 1215110630
Provider Name: DINA BRUDENELL, MD, PROFESSIONAL, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4745 ARAPAHOE AVE STE 310
BOULDER, CO
ZIP 80303
Phone: (303) 442-2913
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DINA BRUDENELL, MD, PROFESSIONAL, LLC is a pediatrics in Boulder, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DINA BRUDENELL, MD, PROFESSIONAL, LLC NPI is 1215110630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4745 ARAPAHOE AVE STE 310
BOULDER, CO
ZIP 80303-082
Phone: (303) 442-2913
Fax: (303) 444-6198

The provider's authorized official is Dina Brudenell .
The authorized official title is Owner and has the following contact phone number (303) 442-2913.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2007.


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
1208000000XPediatrics20118COLORADOYes

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: 11/14/2023

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