Healthcare Provider Details

I. General information

NPI: 1730509191
Provider Name (Legal Business Name): BRIAN HARDY PITTS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE
AURORA CO
80045-7106
US

IV. Provider business mailing address

2020 WADSWORTH BLVD STE 16
LAKEWOOD CO
80214-5730
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-6131
  • Fax:
Mailing address:
  • Phone: 303-233-8701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0058857
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberDR.0058857
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: