Healthcare Provider Details

I. General information

NPI: 1295193217
Provider Name (Legal Business Name): LEAH BARJENBRUCH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 PATTERSON RD
GRAND JUNCTION CO
81505-1443
US

IV. Provider business mailing address

PO BOX 339
GRAND JUNCTION CO
81502-0339
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-6600
  • Fax: 970-241-8443
Mailing address:
  • Phone: 970-242-6600
  • Fax: 970-241-8443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.005776
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: