NPI Code Details Logo

NPI 1720616998

NPI 1720616998 : ANTHONY BRAUSCH MD : PUEBLO, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720616998
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANTHONY BRAUSCH MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2020
-----------------------------------------------------
    Last Update Date     |    07/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4010 JERRY MURPHY RD 
-----------------------------------------------------
    City                 |    PUEBLO
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81001-1045
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    719-562-2021
-----------------------------------------------------
    Fax                  |    719-583-2236
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2695 ROCKY MOUNTAIN AVE STE 150 
-----------------------------------------------------
    City                 |    LOVELAND
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80538-9071
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    970-624-4127
-----------------------------------------------------
    Fax                  |    970-490-4173
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    99599
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    DR.0075238
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

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