Organization Active NPI

Richard O'Brien, MD, LLC

  • Specialist
  • Denver, CO
National Provider Identifier
1184810491
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24590 Issued in CO
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
24590OtherCOCOLORADO LIC
01245901MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.