Healthcare Provider Details

I. General information

NPI: 1952988867
Provider Name (Legal Business Name): RICHARD A RODRIGUEZ-BRIZUELA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 W DRY CREEK CIR STE 150
LITTLETON CO
80120-8072
US

IV. Provider business mailing address

6711 S IVY WAY APT B2
CENTENNIAL CO
80112-1052
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-2883
  • Fax:
Mailing address:
  • Phone: 303-641-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0077838
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: