MEDICARE: CLAUDE ALAN BRACHFELD 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	207RC0000X	Cardiovascular Disease Physician	0430230	NM
2	207R00000X	Internal Medicine Physician	0430230	NM
3	207RI0011X	Interventional Cardiology Physician	DR.0029553	CO
4	207RC0000X	Cardiovascular Disease Physician	DR.0029553	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	:	1164401501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE ALAN BRACHFELD MD

Provider Business Mailing Address
First Line	:	2643 PATTERSON RD
Second Line	:	STE 605
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 PATTERSON RD
Second Line	:	STE 605
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:	970-298-2482
Fax Number	:

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	10/28/2014

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