Healthcare Provider Details

I. General information

NPI: 1710956735
Provider Name (Legal Business Name): COLORADO PAIN SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S TELLER ST SUITE 240
LAKEWOOD CO
80226-7388
US

IV. Provider business mailing address

3600 S YOSEMITE ST STE 330
DENVER CO
80237-1812
US

V. Phone/Fax

Practice location:
  • Phone: 303-268-4040
  • Fax: 303-736-4147
Mailing address:
  • Phone: 303-268-4040
  • Fax: 303-736-4147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY D VILIMS
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 303-268-4040