=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699640771
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | POSTERITY MEN'S HEALTH, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2025
-----------------------------------------------------
Last Update Date | 10/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 203 S PROMENADE BLVD STE 5185
-----------------------------------------------------
City | ROGERS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72758-1623
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-666-4739
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9110 E NICHOLS AVE STE 150
-----------------------------------------------------
City | CENTENNIAL
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80112-3450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-666-4739
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND CHIEF MEDICAL OFFICER
-----------------------------------------------------
Name | BARRETT E COWAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 720-666-4739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208800000X
-----------------------------------------------------
Taxonomy Name | Urology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------