MEDICARE: GRABERT HEALTH, LLC

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

General Provider Information

NPI Number	:	1518478692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRABERT HEALTH, LLC

Provider Business Mailing Address
First Line	:	7871 DUTCHROCK RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-3893
Country	:	US
Telephone Number	:	719-651-1089
Fax Number	:

Provider Business Practice Location Address
First Line	:	7871 DUTCHROCK RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-3893
Country	:	US
Telephone Number	:	719-651-1089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN BRABERT
Credential	:	MD
Telephone Number	:	719-651-1089

Provider Enumeration Date	:	10/17/2017
Last Update Date	:	10/17/2017

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