MEDICARE: ABRAHAM L BRASS 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	207RG0100X	Gastroenterology Physician	230656	MA
2	207RG0100X	Gastroenterology Physician	61455	CO
3	207RG0100X	Gastroenterology Physician	32268	WV

General Provider Information

NPI Number	:	1710946082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRAHAM L BRASS M.D.

Provider Business Mailing Address
First Line	:	3702 S TIMBERLINE RD STE A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3625
Country	:	US
Telephone Number	:	970-207-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 S TIMBERLINE RD STE A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3625
Country	:	US
Telephone Number	:	970-207-9773
Fax Number	:

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	05/05/2026

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