JEFFREY ALLEN BONTRAGER M.D. NPI 1508061680

NPI Information

NPI: 1508061680
Provider Name: JEFFREY ALLEN BONTRAGER, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
835 E 18TH AVE STE 110
DENVER, CO
ZIP 80218
Phone: (303) 825-4646
Get Directions

Jeffrey Allen Bontrager, M.D. is a pediatric emergency medicine pediatrics in Denver, CO with 17 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Jeffrey Allen Bontrager, M.D. NPI is 1508061680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

835 E 18TH AVE STE 110
DENVER, CO
ZIP 80218
Phone: (303) 825-4646
Fax: (303) 825-3215

The NPI 1508061680 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 6/18/2007 and was last updated on 12/4/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		50240	COLORADO	No
2	208000000X	Pediatrics		50240	COLORADO	No
3	208M00000X	Hospitalist		50240	COLORADO	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	DR.0050240	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22021051	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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