MEDICARE: BRENDEN GEISELHARDT PARAMEDIC

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	146L00000X	Paramedic	Q191588	CO

General Provider Information

NPI Number	:	1952233520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDEN GEISELHARDT PARAMEDIC

Provider Business Mailing Address
First Line	:	6883 S IVY WAY APT 107
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 E EGBERT ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-2326
Country	:	US
Telephone Number	:	720-685-8420
Fax Number	:

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

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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