=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497659668
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BTROYGARLAND PROFESSIONAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 660 DEXTER ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80220-5038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-309-7053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 660 DEXTER ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80220-5038
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-309-7053
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRANDON TYLER ROY-GARLAND
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 307-690-9860
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------