Bishop/Petersen MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22371 Issued in CO

Legal business name

BISHOP/PETERSEN MD PC

Practice address

720 S Colorado Blvd
Ste 455 S
Denver, CO 80246-1904

Phone

(303) 759-3173

Fax

(303) 388-7356

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Stephen John Bishop, MD

Title

President

Phone

(303) 759-3173

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1215129317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "STE 455 S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "303-759-3173",
            "fax_number": "303-388-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "STE 455 S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "303-759-3173",
            "fax_number": "303-388-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP/PETERSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-759-3173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "22371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740351894",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223718",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "134623860",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmett R Bishop, MD
• Jessica Bishop
• Kimberly Ann Bishop, LPCC
• Stephen John Bishop, MD
• William Hambleton Bishop, MA, LPC, LMFT
• Maureen Ann Bisio
• Lauren Echols Biss
• William C. Bissell, DDS
• Tsedale Bitew
• Christa Bitner, C.N.

• Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.