Healthcare Provider Details

I. General information

NPI: 1114165081
Provider Name (Legal Business Name): RJB SPINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 CAPILANO CT
CASTLE ROCK CO
80108-3486
US

IV. Provider business mailing address

PO BOX 1288
CROSBY TX
77532-1288
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-5230
  • Fax:
Mailing address:
  • Phone: 281-462-1285
  • Fax: 281-462-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. ROBERT J BESS
Title or Position: OWNER
Credential: M.D.
Phone: 281-462-1285