Healthcare Provider Details

I. General information

NPI: 1912320185
Provider Name (Legal Business Name): REBECCA BADE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 BATTLECREEK DR UNIT A
FORT COLLINS CO
80528-5120
US

IV. Provider business mailing address

2021 BATTLECREEK DR UNIT A
FORT COLLINS CO
80528-5120
US

V. Phone/Fax

Practice location:
  • Phone: 970-818-5725
  • Fax: 970-484-2846
Mailing address:
  • Phone: 970-818-5725
  • Fax: 970-484-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0062497
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: