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1669430450

NPI Code Detail

MEDICARE: SHERI LOUISE BRINKER MD

MEDICARE: SHERI LOUISE BRINKER 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	2085R0202X	Diagnostic Radiology Physician	35087287	OH
2	208D00000X	General Practice Physician	DR.0054931	CO
3	208D00000X	General Practice Physician	216533	MA
4	208D00000X	General Practice Physician	35087287	OH
5	2085R0202X	Diagnostic Radiology Physician	DR.0054931	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
2	000000207338	OTHER	OH	UNISON
3	000000384122	OTHER	OH	ANTHEM
4	341893458	OTHER	OH	MMOH
5	7717448	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1669430450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI LOUISE BRINKER MD

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-0130
Country	:	US
Telephone Number	:	970-858-2186
Fax Number	:	970-858-2208

Provider Business Practice Location Address
First Line	:	300 W OTTLEY AVE
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2118
Country	:	US
Telephone Number	:	970-858-2149
Fax Number	:	970-858-2200

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	11/23/2020

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Directions to “ SHERI LOUISE BRINKER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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