Unknown Individual – Family Medicine Physician, NPI 1013956283
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Oracle, 500, Eldorado Boulevard, City and County of Broomfield, Colorado, 80020, United States
SUITE 6250
BROOMFIELD, CO 800213408
Phone: (303) 272-0751
Fax: (303) 318-2488
Type: Mailing
460, Ogden Street, Capitol Hill, Denver, Denver County, Colorado, 80218, United States
DENVER, CO 802181022
Phone: (303) 318-2500
Fax: (303) 318-2575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Diagnostic Radiology | CO | |
| Colorectal Surgery (Proctology) | CO | |
| General Surgery | NH | |
| - | CO | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| General Surgery | SC |
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