NPI Code Detail JSON Logo

1437358702 NPI number — BRETT GORDON MASAYESVA M.D.

NPI Number: 1437358702
Health Care Provider/Practitioner: BRETT GORDON MASAYESVA M.D.

Information about “1437358702” NPI (BRETT GORDON MASAYESVA M.D.) exists in 1437358702 in HTML format HTML  |  1437358702 in plain Text format TXT  |  1437358702 in PDF (Portable Document Format) PDF  |  1437358702 in an XML format XML  formats.

NPI Number : 1437358702 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437358702",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASAYESVA",
    "FirstName": "BRETT",
    "MiddleName": "GORDON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "240 MAPLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODRUFF",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54568-9190",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-356-8920",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1625 FOXTRAIL DR STE 190",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOVELAND",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80538-9089",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-500-2244",
    "PracticeLocationAddressFaxNumber": "970-823-9009",
    "EnumerationDate": "07/16/2007",
    "LastUpdateDate": "11/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "DR.0069669",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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