MEDICARE: ANDREW W MCBRIDE 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	207V00000X	Obstetrics & Gynecology Physician	42629	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00400976	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1275574329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW W MCBRIDE MD

Provider Business Mailing Address
First Line	:	2420 W 26TH AVE STE 400D
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5357
Country	:	US
Telephone Number	:	303-467-4162
Fax Number	:	303-318-3885

Provider Business Practice Location Address
First Line	:	1960 OGDEN ST STE 520
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1022
Country	:	US
Telephone Number	:	303-318-3220
Fax Number	:	303-318-3219

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/21/2011

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Directions to “ ANDREW W MCBRIDE MD” Practice Location

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