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NPI Code Detail

MEDICARE: DR. BRADLEY KENT PITTMAN M.D.

MEDICARE: DR. BRADLEY KENT PITTMAN M.D.
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
1207Q00000XFamily Medicine PhysicianMD067878LPA
2207Q00000XFamily Medicine PhysicianP4369TX
3207Q00000XFamily Medicine PhysicianDR.0072652CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740357524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY KENT PITTMAN M.D.
Provider Business Mailing Address
First Line : 7495 W 29TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-8002
Country : US
Telephone Number : 303-761-1977
Fax Number : 303-343-0247
Provider Business Practice Location Address
First Line : 3292 PEORIA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-1517
Country : US
Telephone Number : 303-761-1977
Fax Number : 303-434-0247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 02/28/2024

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