Healthcare Provider Details

I. General information

NPI: 1245422948
Provider Name (Legal Business Name): JOCELYN ELIZABETH BEAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN ELIZABETH VITALE M.D.

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 ARAPAHOE AVE UNIT E4
BOULDER CO
80302-6746
US

IV. Provider business mailing address

2525 ARAPAHOE AVE STE E4 #1401
BOULDER CO
80302
US

V. Phone/Fax

Practice location:
  • Phone: 720-507-4401
  • Fax:
Mailing address:
  • Phone: 720-507-4401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0047913
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084H0002X
TaxonomyHospice and Palliative Medicine (Psychiatry & Neurology) Physician
License NumberDR.0047913
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: