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NPI Code Detail

MEDICARE: DR. DAVID R EHRENBERGER M.D.

MEDICARE: DR. DAVID R EHRENBERGER 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
1207Q00000XFamily Medicine Physician35945CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1EH54796OTHERCOBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922031772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R EHRENBERGER M.D.
Provider Business Mailing Address
First Line : 601 FAIRFIELD LN
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-9561
Country : US
Telephone Number : 303-664-5754
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LAWRENCE ST # 101
Second Line :
City : DENVER
State : CO
Zip : 80205-3422
Country : US
Telephone Number : 720-689-5269
Fax Number : 720-368-4708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/19/2025

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