MEDICARE: ADAM KRISTOPHER GRAHAM 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	2084N0400X	Neurology Physician	2715	WI
2	2084N0400X	Neurology Physician	036-149985	IL
3	2084N0400X	Neurology Physician	50372	CO
4	2084N0400X	Neurology Physician	29098	NE

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	:	1427252725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM KRISTOPHER GRAHAM MD

Provider Business Mailing Address
First Line	:	6541 STAGECOACH AVE
Second Line	:
City	:	FIRESTONE
State	:	CO
Zip	:	80504-3479
Country	:	US
Telephone Number	:	402-350-5964
Fax Number	:

Provider Business Practice Location Address
First Line	:	499 E HAMPDEN AVE
Second Line	:	STE 360
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2780
Country	:	US
Telephone Number	:	303-781-4485
Fax Number	:

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	03/17/2026

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Directions to “ ADAM KRISTOPHER GRAHAM MD” Practice Location

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