DR. ROBERT ALEXIS DERY MD NPI 1376581694

NPI Information

NPI: 1376581694
Provider Name: DR. ROBERT ALEXIS DERY, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
DEPT #0861
DENVER, CO
ZIP 80256
Phone: (866) 898-7136
Get Directions

DR. Robert Alexis Dery, MD is an emergency medical services emergency medicine in Denver, CO. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Robert Alexis Dery, MD NPI is 1376581694. 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:

DEPT #0861
DENVER, CO
ZIP 80256-001
Phone: (866) 898-7136
Fax: (616) 975-9824

The NPI 1376581694 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 6/2/2006 and was last updated on 11/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	A80430	CALIFORNIA	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	43730	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	T0423	MEDICAID	UTAH
2	P00278508	OTHER	COLORADO	RAILROAD
3	I48028	MEDICARE UPIN	COLORADO
4	59626861	MEDICAID	COLORADO
5	C804412	MEDICARE PIN	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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