Healthcare Provider Details

I. General information

NPI: 1750508404
Provider Name (Legal Business Name): ROCKY MOUNTAIN MEDICAL GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 ZUNI ST STE 205
DENVER CO
80221-4689
US

IV. Provider business mailing address

8380 ZUNI ST STE 205
DENVER CO
80221-4689
US

V. Phone/Fax

Practice location:
  • Phone: 303-650-6201
  • Fax: 303-650-1569
Mailing address:
  • Phone: 303-650-6201
  • Fax: 303-650-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number28419
License Number StateCO

VIII. Authorized Official

Name: DR. BRIAN JOSEPH BEATTY
Title or Position: PRESIDENT
Credential: D.O.
Phone: 303-762-0900