Patrick D Bacon, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

26048 Issued in CO

Practice address

3801 E Florida Ave
Denver, CO 80210-2571

Phone

(720) 763-9001

Fax

(720) 763-9785

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1184713844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102538",
            "telephone_number": "720-863-6012",
            "fax_number": "720-763-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102571",
            "telephone_number": "720-763-9001",
            "fax_number": "720-763-9785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Church Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800213918",
            "country_code": "US",
            "telephone_number": "303-466-7391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "PATRICK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "26048",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "26048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19724268",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara J. Bacon, RN
• David Bacon, MD
• Delaney Bacon, PA
• Emma Bacon
• Luke Porter Bacon, MD
• Rebecca Courtney Bacon, BSN, RN
• Joshua Badall, D.M.D.
• Natalie Baddour
• Michael John Bade, PT, PHD
• Samantha Bader-Smith, LCSW

• Child & Adolescent Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.