1043325012 NPI number — BRIANN M RAMIREZ DPT

Table of content: BRIANN M RAMIREZ DPT (NPI 1043325012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043325012 NPI number — BRIANN M RAMIREZ DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ
Provider First Name:
BRIANN
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCCOY
Provider Other First Name:
BRIANN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043325012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 W HAMPDEN PL
Provider Second Line Business Mailing Address:
STE 10
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80110-2470
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-781-7511
Provider Business Mailing Address Fax Number:
303-781-7513

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 W HAMPDEN PL
Provider Second Line Business Practice Location Address:
STE 10
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80110-2470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-781-7511
Provider Business Practice Location Address Fax Number:
303-781-7513
Provider Enumeration Date:
08/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  9147 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 742862345 . This is a "GALAXY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "GOLDEN RULE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8T6364/0092EX . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "HEALTHSMART" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "HUMANA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 2274981 . This is a "FIRST HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "PHCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "SCOTT & WHITE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "TRUE CHOICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 742862345 . This is a "UNICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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