Provider Demographics
NPI:1306873476
Name:NEWSOME, BRITT B (MD)
Entity type:Individual
Prefix:
First Name:BRITT
Middle Name:B
Last Name:NEWSOME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 RAMPART WAY # WAU
Mailing Address - Street 2:SUITE 300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6440
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:
Practice Address - Street 1:130 RAMPART WAY # WAU
Practice Address - Street 2:SUITE 300B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6440
Practice Address - Country:US
Practice Address - Phone:303-327-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL24449207RN0300X
CO47191207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009936887Medicaid
AL009936888Medicaid
CO51578069Medicaid
CO51578069Medicaid
COI56427Medicare UPIN