Healthcare Provider Details

I. General information

NPI: 1992639074
Provider Name (Legal Business Name): ALPINE MEDICAL GROUP COLORADO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 E BRIARWOOD AVE STE 250
CENTENNIAL CO
80112-4149
US

IV. Provider business mailing address

999 17TH ST STE 500
DENVER CO
80202-2728
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-1800
  • Fax: 303-805-9323
Mailing address:
  • Phone: 956-468-2999
  • Fax: 956-468-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TRACEY J BAUGHEY
Title or Position: CREDENTIALING DIRECTOR
Credential:
Phone: 956-468-2999