Healthcare Provider Details

I. General information

NPI: 1255250056
Provider Name (Legal Business Name): BLUE BRIDGE MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 S YUKON ST STE 100
LAKEWOOD CO
80226-4371
US

IV. Provider business mailing address

1075 S YUKON ST STE 100
LAKEWOOD CO
80226-4371
US

V. Phone/Fax

Practice location:
  • Phone: 720-623-0408
  • Fax: 303-484-6748
Mailing address:
  • Phone: 720-623-0408
  • Fax: 303-484-6748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VANESSA ALCARAZ
Title or Position: OWNER
Credential: ALCARAZ
Phone: 720-623-0408