Healthcare Provider Details

I. General information

NPI: 1407426679
Provider Name (Legal Business Name): BRAD DEBEER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S BELLAIRE ST STE 801
DENVER CO
80222-4331
US

IV. Provider business mailing address

1720 S BELLAIRE ST STE 801
DENVER CO
80222-4331
US

V. Phone/Fax

Practice location:
  • Phone: 720-994-2966
  • Fax:
Mailing address:
  • Phone: 720-994-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCHR.0008363
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: