5280 Iom Pro, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

5280 IOM PRO, LLC

Practice address

1700 Bassett St Unit 1021
Denver, CO 80202-1921

Phone

(346) 221-1597

Fax

(832) 581-4677

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julieann Bishop

Title

Co-Owner

Phone

(346) 221-1597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1144779380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1651",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321651",
            "telephone_number": "281-462-7684",
            "fax_number": "888-832-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BASSETT ST UNIT 1021",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021921",
            "telephone_number": "346-221-1597",
            "fax_number": "832-581-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5280 IOM PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JULIEANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "346-221-1597"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neurophysiology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Neurophysiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.