Active NPI
Richard O'Brien, MD, LLC
- Specialist
- Denver, CO
National Provider Identifier
1184810491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24590
- Legal business name
- RICHARD O'BRIEN, MD, LLC
- Practice address
- 4500 East 9TH Ave #550
Richard O'Brien, MD, LLC
Denver, CO 80220 - Phone
- (303) 329-8998
- Fax
- (303) 329-9020
- NPI assigned
- Sep 20, 2007
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tamara V Radich
- Title
- Business Manager
- Phone
- (303) 423-0758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24590 | CO | Primary |
Addresses
Primary practice location
4500 East 9TH Ave #550
Richard O'Brien, MD, LLC
Denver, CO 80220
Mailing address
4500 East 9TH Ave #550
Richard O'Brien, MD, LLC
Denver, CO 80220
Phone (303) 329-8998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24590 | Other | CO | COLORADO LIC |
| 01245901 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
4500 E 9th Ave
#550
Denver, CO 80220
Phone (303) 329-8998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1184810491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 EAST 9TH AVE #550",
"address_2": "RICHARD O'BRIEN, MD, LLC",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "303-329-8998",
"fax_number": "303-329-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 EAST 9TH AVE #550",
"address_2": "RICHARD O'BRIEN, MD, LLC",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "303-329-8998",
"fax_number": "303-329-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD O'BRIEN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "RADICH",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "303-423-0758",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "24590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LIC",
"identifier": "24590",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01245901",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.