Provider Demographics
NPI:1699080515
Name:DENVER CARE PROVIDERS
Entity type:Organization
Organization Name:DENVER CARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-246-8443
Mailing Address - Street 1:3758 E 104TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-4434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3758 E 104TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4434
Practice Address - Country:US
Practice Address - Phone:719-246-8443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty