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NPI Code Detail

MEDICARE: BRIAN BIXLER

MEDICARE: BRIAN BIXLER
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
1363A00000XPhysician AssistantPA.0004595CO
2363AS0400XSurgical Physician AssistantPA.0004595CO
3363AM0700XMedical Physician AssistantPA.0004595CO

General Provider Information

NPI Number : 1629429709
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN BIXLER
Provider Business Mailing Address
First Line : 4743 ARAPAHOE AVE STE 202
Second Line :
City : BOULDER
State : CO
Zip : 80303-1128
Country : US
Telephone Number : 303-938-5700
Fax Number : 303-998-0007
Provider Business Practice Location Address
First Line : 1690 MEADE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-1552
Country : US
Telephone Number : 704-789-3012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 02/09/2026

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Directions to “ BRIAN BIXLER ” Practice Location

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