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BRYAN G BAER MD PROF LLC NPI 1508055237


NPI Information

NPI: 1508055237
Provider Name: BRYAN G BAER, MD, PROF LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
8550 W 38TH AVE
STE 205
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 467-8991
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BRYAN G BAER, MD, PROF LLC is a specialist in Wheat Ridge, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRYAN G BAER, MD, PROF LLC NPI is 1508055237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8550 W 38TH AVE
STE 205
WHEAT RIDGE, CO
ZIP 80033-300
Phone: (303) 467-8991
Fax: (303) 467-9510

The provider's authorized official is Bryan Gordon Baer .
The authorized official title is Owner and has the following contact phone number (303) 467-8991.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 6/30/2008.


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
1174400000XSpecialist28172COLORADOYes

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
139023389MEDICAIDCOLORADO

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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