Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Neurology Physician · Brighton, CO

NPI number 1902542384 Active

Practice location

1610 Prairie Center Pkwy Ste 2200
Brighton, CO 80601-4008

Call (303) 498-1885 Map

Fax (303) 498-1884

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3 other providers at this address

Other neurology physician providers in Brighton

Intermountain Medical Group Denver, LLCNeurology Physician Brighton, CO NPI 1720865439

See all in Brighton →

NPI record

NPI: 1902542384
Entity type: Organization (Type 2)
Issued: May 9, 2022
Last updated: Jul 12, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
SCL Health Medical Group - Brighton Spine · doing business as
SCL Health Medical Group - Brighton Spine · doing business as

Authorized official

Jon McDaniel
VP Finance
(303) 272-0231

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1902542384

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1902542384, issued on May 9, 2022. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Brighton, CO. The record was last updated on Jul 12, 2024.