DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1407973993

NPI Code Detail

MEDICARE: DR. TARA BROOKE KELLEY GREGORY M.D.

MEDICARE: DR. TARA BROOKE KELLEY GREGORY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	77380	AZ
2	207RH0003X	Hematology & Oncology Physician	47002	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407973993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA BROOKE KELLEY GREGORY M.D.

Provider Business Mailing Address
First Line	:	4900 S MONACO ST
Second Line	:	SUITE 210
City	:	DENVER
State	:	CO
Zip	:	80237-3486
Country	:	US
Telephone Number	:	720-754-4800
Fax Number	:	720-754-4801

Provider Business Practice Location Address
First Line	:	1721 E 19TH AVE STE 300
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1258
Country	:	US
Telephone Number	:	720-754-4800
Fax Number	:	720-754-4801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	10/21/2019

Similar Medicare Providers

1528042249 — DR. SCOTT IRVIN BEARMAN MD
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

1881678449 — DR. PETER A MCSWEENEY MD
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

1083675995 — ANDREA L GRACE P.A.
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

1194815050 — DR. RICHARD A NASH MD
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

1598803579 — JANET M MCDERMITT NP
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

1750583019 — ALISON L COLLINGS NP
Practice Location Address:

1721 E 19TH AVE STE 300
DENVER, CO
80218-1258

Practice Phone: 720-754-4800
Practice Fax: 720-754-4801

Directions to “ DR. TARA BROOKE KELLEY GREGORY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.