NPI Code Details Logo

NPI 1063490878

NPI 1063490878 : MICHAEL J BREYER MD : DENVER, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063490878
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL J BREYER MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/03/2006
-----------------------------------------------------
    Last Update Date     |    11/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    660 BANNOCK ST 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80204-4506
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-739-1211
-----------------------------------------------------
    Fax                  |    303-602-4560
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2262 S LOVELAND ST 
-----------------------------------------------------
    City                 |    LAKEWOOD
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80228-6435
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-545-4423
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    MD228106
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    C10007162
-----------------------------------------------------
    License Number State |    DE
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    DR.0049474
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.