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BRUCE BLYTH M.D. NPI 1174587265


NPI Information

NPI: 1174587265
Provider Name: BRUCE BLYTH, M.D.
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

Address:
1601 E 19TH AVE
SUITE 3750
DENVER, CO
ZIP 80218
Phone: (303) 839-7200
Get Directions

Bruce Blyth, M.D. is a pediatric urology urology in Denver, CO. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Bruce Blyth, M.D. NPI is 1174587265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 E 19TH AVE
SUITE 3750
DENVER, CO
ZIP 80218-216
Phone: (303) 839-7200
Fax: (303) 839-7229

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/8/2007.


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
12088P0231XUrologyPediatric Urology31504COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101315043MEDICAIDCOLORADO

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

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