Healthcare Provider Details

I. General information

NPI: 1952233520
Provider Name (Legal Business Name): BRENDEN GEISELHARDT PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 E EGBERT ST
BRIGHTON CO
80601-2326
US

IV. Provider business mailing address

6883 S IVY WAY APT 107
CENTENNIAL CO
80112-1063
US

V. Phone/Fax

Practice location:
  • Phone: 720-685-8420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberQ191588
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: