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NPI Code Detail

MEDICARE: DR. REBECCA HARPER BRIM DMD, MS, FACP

MEDICARE: DR. REBECCA HARPER BRIM DMD, MS, FACP
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
11223P0700XProsthodontics8385SC

General Provider Information

NPI Number : 1598174542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA HARPER BRIM DMD, MS, FACP
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 864-350-0955
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2014
Last Update Date : 05/12/2026

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