Provider Demographics
NPI:1427265883
Name:RAY, HEIDI G (MD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:G
Last Name:RAY
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:HEIDI
Other - Middle Name:G
Other - Last Name:BERGMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9949 S OSWEGO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3753
Mailing Address - Country:US
Mailing Address - Phone:303-925-4750
Mailing Address - Fax:303-925-4751
Practice Address - Street 1:9949 S OSWEGO ST STE 200
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3753
Practice Address - Country:US
Practice Address - Phone:303-925-4750
Practice Address - Fax:303-925-4751
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11013196A2084N0400X
390200000X
CODR.504172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO022131OtherKAISER COMMERCIAL NUMBER
CO36623563Medicaid
COCOAAA1337Medicare PIN