Healthcare Provider Details

I. General information

NPI: 1417926403
Provider Name (Legal Business Name): BRUCE HENRY ALBRECHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 PYRAMID CT STE 310
ENGLEWOOD CO
80112-5999
US

IV. Provider business mailing address

9800 PYRAMID CT STE 310
ENGLEWOOD CO
80112-5999
US

V. Phone/Fax

Practice location:
  • Phone: 720-420-1570
  • Fax:
Mailing address:
  • Phone: 720-420-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number23164
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: