Provider Demographics
NPI:1457411241
Name:A CENTER FOR FAMILY MEDICINE
Entity type:Organization
Organization Name:A CENTER FOR FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANZBROOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-450-8214
Mailing Address - Street 1:PO BOX 741345
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80006-1345
Mailing Address - Country:US
Mailing Address - Phone:303-450-8214
Mailing Address - Fax:303-450-8218
Practice Address - Street 1:10465 MELODY DR
Practice Address - Street 2:# 306
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4119
Practice Address - Country:US
Practice Address - Phone:303-450-8214
Practice Address - Fax:303-450-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COFRA618006OtherBC-BS-GROUP
COF14221Medicare UPIN
CO804233Medicare ID - Type UnspecifiedMEDICARE-GROUP