Healthcare Provider Details

I. General information

NPI: 1891007126
Provider Name (Legal Business Name): JUSTIN BRENT COHEN MD, MHS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 GREENWOOD PLAZA BLVD STE 760
GREENWOOD VILLAGE CO
80111-5072
US

IV. Provider business mailing address

6465 GREENWOOD PLAZA BLVD STE 760
GREENWOOD VILLAGE CO
80111-5072
US

V. Phone/Fax

Practice location:
  • Phone: 720-708-8007
  • Fax: 720-734-2244
Mailing address:
  • Phone: 720-708-8007
  • Fax: 720-734-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number287901
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number62546
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: