Provider Demographics
NPI:1194762153
Name:MEYER, JAMES I (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:I
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1606 PRAIRIE CENTER PARKWAY
Mailing Address - Street 2:SUITE #310
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601
Mailing Address - Country:US
Mailing Address - Phone:303-659-5800
Mailing Address - Fax:303-659-5156
Practice Address - Street 1:1606 PRAIRIE CENTER PKWY STE 310
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4004
Practice Address - Country:US
Practice Address - Phone:303-659-5800
Practice Address - Fax:303-659-5156
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28945207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01289453Medicaid
CO110146556OtherRAILROAD MEDICARE
C515368Medicare PIN
COF86202Medicare UPIN
CO01289453Medicaid