BRYAN DAEYOUN PARK NPI 1568858066

NPI Information

NPI: 1568858066
Provider Name: BRYAN DAEYOUN PARK
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP

PECOS Registration: Yes

Address:
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000
Get Directions

Bryan Daeyoun Park is a pulmonary disease internal medicine in Aurora, CO with 9 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Bryan Daeyoun Park NPI is 1568858066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 848-0000

The NPI 1568858066 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 4/10/2015 and was last updated on 9/21/2021.

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		DR.0062344	COLORADO	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	DR.0062344	COLORADO	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	DR.0062344	COLORADO	Yes

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

NPI Synchronization or Removal

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