MEDICARE: DR. BRUCE LAMONT JENSEN

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	2084P0800X	Psychiatry Physician	16467	CO

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	:	1649201419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE LAMONT JENSEN

Provider Business Mailing Address
First Line	:	11059 E. BETHANY DRIVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014
Country	:	US
Telephone Number	:	303-617-2300
Fax Number	:	303-617-2365

Provider Business Practice Location Address
First Line	:	1646 ELMIRA STREET
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010
Country	:	US
Telephone Number	:	303-399-8020
Fax Number	:

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	04/12/2026

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