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NPI Code Detail

MEDICARE: DR. BRETT C FOUSS DO

MEDICARE: DR. BRETT C FOUSS 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
12084P0800XPsychiatry Physician34910CO

General Provider Information

NPI Number : 1407942626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRETT C FOUSS DO
Provider Business Mailing Address
First Line : 2135 SOUTHGATE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906
Country : US
Telephone Number : 719-329-5331
Fax Number : 719-633-2466
Provider Business Practice Location Address
First Line : 2135 SOUTHGATE RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906
Country : US
Telephone Number : 719-329-5331
Fax Number : 719-633-2466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 12/21/2007

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