Healthcare Provider Details

I. General information

NPI: 1558400135
Provider Name (Legal Business Name): MEGAN LEIGH RODGERS BRICKWEG PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN LEIGH RODGERS

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST STE 100
DENVER CO
80210-5848
US

IV. Provider business mailing address

PO BOX 801106
KANSAS CITY MO
64180-1106
US

V. Phone/Fax

Practice location:
  • Phone: 720-524-1367
  • Fax: 720-524-1422
Mailing address:
  • Phone: 800-953-0104
  • Fax: 303-765-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18692
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0004396
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: