Provider Demographics
NPI:1285625475
Name:ESSARY, BRENDAN FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:FRANCIS
Last Name:ESSARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD175862085R0202X
KS04-349282085R0202X
CO473772085R0202X
NE252252085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003129381AMedicaid
NE10025709000Medicaid
UT1285625475Medicaid
CO95852212Medicaid
NE84089712600Medicaid
NM15224287Medicaid
OK200424600AMedicaid
NC7617663Medicaid
WY1285625475Medicaid
MT1285625475Medicaid
KS200626360AMedicaid
IA1285625475Medicaid
NE84059792913Medicaid
SCQ47377Medicaid
MT1285625475Medicaid
CO95852212Medicaid
KS200626360AMedicaid
UT1285625475Medicaid
COP00779053Medicare PIN
NE10025709000Medicaid
NE84089712600Medicaid
WY1285625475Medicaid
KS111257034Medicare PIN
NECO305639Medicare PIN