MEDICARE: REBECCA BADE 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	208M00000X	Hospitalist Physician	DR.0062497	CO

General Provider Information

NPI Number	:	1912320185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA BADE M.D.

Provider Business Mailing Address
First Line	:	2021 BATTLECREEK DR UNIT A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-5120
Country	:	US
Telephone Number	:	970-818-5725
Fax Number	:	970-484-2846

Provider Business Practice Location Address
First Line	:	2021 BATTLECREEK DR UNIT A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-5120
Country	:	US
Telephone Number	:	970-818-5725
Fax Number	:	970-484-2846

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

Provider Enumeration Date	:	01/24/2014
Last Update Date	:	06/04/2025

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