Healthcare Provider Details

I. General information

NPI: 1285588053
Provider Name (Legal Business Name): OPEN SPACE ACUPUNCTURE & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 N SHERMAN ST STE 101
DENVER CO
80203-2298
US

IV. Provider business mailing address

1155 N SHERMAN ST STE 101
DENVER CO
80203-2298
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-6690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MADELINE BERGNER
Title or Position: OWNER/ACUPUNCTURIST
Credential: L.AC, DAOM
Phone: 703-409-9961