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MARIEL KAREEN BRYDEN M.D. NPI 1144582453


NPI Information

NPI: 1144582453
Provider Name: MARIEL KAREEN BRYDEN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: SEA-MAR COMMUNITY HEALTH CENTER

PECOS Registration: Yes

Address:
902 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 557-5855
Get Directions

Mariel Kareen Bryden, M.D. is a family medicine in Pueblo, CO with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mariel Kareen Bryden, M.D. NPI is 1144582453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

902 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004-597
Phone: (719) 557-5855
Fax: (719) 557-5097

The NPI 1144582453 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 6/12/2012 and was last updated on 9/1/2016.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily MedicineP8342TEXASNo
3207Q00000XFamily MedicineDR.0057149COLORADOYes

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

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.