Healthcare Provider Details

I. General information

NPI: 1013125939
Provider Name (Legal Business Name): BRIAN P BOST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S JACKSON ST STE 412
DENVER CO
80210-3807
US

IV. Provider business mailing address

947 N LAFAYETTE ST
DENVER CO
80218-3110
US

V. Phone/Fax

Practice location:
  • Phone: 720-213-6430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberCDRH.0048642
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCDRH.0048642
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberCDRH.0048642
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number83394
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: