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1336139534

NPI Code Detail

MEDICARE: DR. CARLA T BREGNI-PAGE DO

MEDICARE: DR. CARLA T BREGNI-PAGE DO

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	5101012799	MI
2	207Q00000X	Family Medicine Physician	DR.0056781	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C5963	OTHER	MI	MCARE
2	080D410020	OTHER	MI	BLUE CROSS BLUE SHIELD
3	080D410020	OTHER	MI	BLUE CARE NETWORK
4	0852501625	OTHER	MI	BLUE CROSS BLUE SHIELD
5	080D410020	OTHER	MI	BLUE CROSS COMMUNITY BLUE
6	G74585	OTHER	MI	HEALTH ALLIANCE PLAN
7	G74585	OTHER	MI	HEALTH NET SERVICES
8	204388	OTHER	MI	HEALTH ADVANTAGE NETWORK
9	3486424001	OTHER	MI	CIGNA
10	DR.0056781	OTHER	CO	COLORADO STATE LICENSE
11	080126360	OTHER	MI	METRAHEALTH
12	204388	OTHER	MI	MCLAREN HEALTH PLAN
13	080D4100220	OTHER	MI	BLUE CROSS POS
14	5274804	OTHER	MI	AETNA
15	0983187	OTHER	MI	HEATLTH PLUS
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336139534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLA T BREGNI-PAGE DO

Provider Business Mailing Address
First Line	:	2356 MEADOWS BLVD
Second Line	:	STE 140B
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-8405
Country	:	US
Telephone Number	:	303-218-7774
Fax Number	:	303-660-5065

Provider Business Practice Location Address
First Line	:	2356 MEADOWS BLVD
Second Line	:	STE 140B
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-8405
Country	:	US
Telephone Number	:	303-218-7774
Fax Number	:	303-660-5065

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	04/10/2017

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Directions to “ DR. CARLA T BREGNI-PAGE DO” Practice Location

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