Individual provider Active NPI

Barr H Forman

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1114220944
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42382 Issued in CO
Practice address
668 Ulster Way
Denver, CO 80230-7179
Phone
(303) 366-6615
Fax
(720) 859-3409
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42382 CO Primary

Addresses

Primary practice location

668 Ulster Way
Denver, CO 80230-7179

Mailing address

668 Ulster Way
Denver, CO 80230-7179
Phone (303) 366-6615

Other names 1

  • Dr. Barr H Forman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42382COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine Past Accepting new patients
Metabolism Associates PC PastSince Jul 28, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: barr.forman.1@24472.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1114220944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 ULSTER WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307179",
            "telephone_number": "303-366-6615",
            "fax_number": "720-859-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 ULSTER WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307179",
            "telephone_number": "303-366-6615",
            "fax_number": "720-859-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "BARR",
        "middle_name": "H",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARR",
            "last_name": "FORMAN",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "M D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.