Healthcare Provider Details

I. General information

NPI: 1851417364
Provider Name (Legal Business Name): TIMOTHY JAMES BEDIENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 DTC PKWY SUITE 400
GREENWOOD VILLAGE CO
80111-2719
US

IV. Provider business mailing address

5200 DTC PKWY SUITE 400
GREENWOOD VILLAGE CO
80111-2719
US

V. Phone/Fax

Practice location:
  • Phone: 303-745-0000
  • Fax: 303-708-1834
Mailing address:
  • Phone: 303-745-0000
  • Fax: 303-708-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDR46988
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDR46988
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: