MEDICARE: ALPINE MEDICAL GROUP COLORADO PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184558264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE MEDICAL GROUP COLORADO PLLC

Provider Business Mailing Address
First Line	:	999 17TH ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-2728
Country	:	US
Telephone Number	:	956-468-2999
Fax Number	:	956-468-2997

Provider Business Practice Location Address
First Line	:	12201 PECOS ST STE 500
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3995
Country	:	US
Telephone Number	:	956-468-2999
Fax Number	:	956-468-2997

Authorized Official
Title or Position	:	CREDENTIALING DIRECTOR
Name	:	TRACEY J BAUGHEY
Credential	:
Telephone Number	:	956-468-2999

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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