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1063490878

NPI Code Detail

MEDICARE: MICHAEL J BREYER MD

MEDICARE: MICHAEL J BREYER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD228106	OR
2	207P00000X	Emergency Medicine Physician	C10007162	DE
3	207P00000X	Emergency Medicine Physician	DR.0049474	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063490878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J BREYER MD

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

Provider Business Practice Location Address
First Line	:	660 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4506
Country	:	US
Telephone Number	:	303-739-1211
Fax Number	:	303-602-4560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	11/19/2025

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Directions to “ MICHAEL J BREYER MD” Practice Location

Language	Start Address	Practice Location

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