Healthcare Provider Details

I. General information

NPI: 1801943618
Provider Name (Legal Business Name): RACHEL BIBER BREWER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 01/27/2022
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 130
DENVER CO
80205-5504
US

IV. Provider business mailing address

2055 N HIGH ST STE 130
DENVER CO
80205-5504
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-2663
  • Fax: 303-861-4741
Mailing address:
  • Phone: 303-861-2663
  • Fax: 303-861-4741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number49690
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number49690
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: