Healthcare Provider Details

I. General information

NPI: 1760460695
Provider Name (Legal Business Name): NICOLA BUGELLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

5994 S ELM CT
CENTENNIAL CO
80121-3326
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-6900
  • Fax:
Mailing address:
  • Phone: 303-221-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number43872
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number43872
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: