MEDICARE: JASON BRANDT SIGMON MD

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	207Y00000X	Otolaryngology Physician	22691	OK

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

General Provider Information

NPI Number	:	1700841145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON BRANDT SIGMON MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4128
Fax Number	:	970-490-4340

Provider Business Practice Location Address
First Line	:	940 CENTRAL PARK DR STE 207
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-871-2549
Fax Number	:	970-875-2727

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	01/05/2022

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