Provider Demographics
NPI:1124103791
Name:BLOOMFIELD, ELIZABETH C (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:BLOOMFIELD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-320-2929
Mailing Address - Fax:303-320-2767
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-320-2929
Practice Address - Fax:303-320-2767
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-08-02
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Provider Licenses
StateLicense IDTaxonomies
CO30637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01306372Medicaid
CO60827211Medicaid
CO60827211Medicaid
COC224058Medicare PIN
COCO303779Medicare PIN