MEDICARE: GERGIS CORP

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	172A00000X	Driver

General Provider Information

NPI Number	:	1730020421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERGIS CORP

Provider Business Mailing Address
First Line	:	9900 E 5TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-4249
Country	:	US
Telephone Number	:	303-350-8926
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 E 5TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-4249
Country	:	US
Telephone Number	:	720-862-7684
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TSEGAB A REDA
Credential	:
Telephone Number	:	303-350-8926

Provider Enumeration Date	:	04/04/2026
Last Update Date	:	04/04/2026

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Directions to “GERGIS CORP ” Practice Location

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