Healthcare Provider Details
I. General information
NPI: 1558993436
Provider Name (Legal Business Name): 5900 HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2020
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7009 S POTOMAC ST STE 102
CENTENNIAL CO
80112-4034
US
IV. Provider business mailing address
7009 S POTOMAC ST STE 102
CENTENNIAL CO
80112-4034
US
V. Phone/Fax
- Phone: 720-536-8427
- Fax: 844-296-2998
- Phone: 720-536-8427
- Fax: 844-296-2998
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIENNE
STONEBERGER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 303-520-1818