Active NPI
Michael Alan Friedberg, M.D.
- Surgery Physician
- Denver, CO
National Provider Identifier
1265673396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-047442
- Practice address
- 1671 S Sherman St
Denver, CO 80210-2623 - Phone
- (303) 955-1608
- NPI assigned
- Mar 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-047442 | IL | Primary |
| Surgery Physician | 208600000X | 2002010044 | MO | |
| Surgery Physician | 208600000X | 38270 | KY | |
| Surgery Physician | 208600000X | 47178 | CO |
Addresses
Primary practice location
1671 S Sherman St
Denver, CO 80210-2623
Mailing address
1671 S Sherman St
Denver, CO 80210-2623
Phone (303) 955-1608
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002010044 | Other | MO | DEPARTMENT OF ECONOMIC DEVELOPMENT, DIVISON OF PROFESSINAL REGISTRATION |
| 036-047442 | Other | IL | DEPARTMENT OF FINANCIAL AND PROFESSINAL REGISTRATION |
| 47178 | Other | CO | DEPARTMENT OF REGULATORY AGENCIES, DIVISION OF REISTRATIONS |
| 38270 | Other | KS | KENTUCKY BOARD OF MEDICAL LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47178 | CO | MD | Surgery Physician |
| 036-047442 | IL | MD | Surgery Physician |
| 38270 | KY | MD | Surgery Physician |
| 2002010044 | MO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1265673396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 S SHERMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802102623",
"telephone_number": "303-955-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 S SHERMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802102623",
"telephone_number": "303-955-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDBERG",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-047442",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2002010044",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "38270",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "47178",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF ECONOMIC DEVELOPMENT, DIVISON OF PROFESSINAL REGISTRATION",
"identifier": "2002010044",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL AND PROFESSINAL REGISTRATION",
"identifier": "036-047442",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF REGULATORY AGENCIES, DIVISION OF REISTRATIONS",
"identifier": "47178",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF MEDICAL LICENSURE",
"identifier": "38270",
"state": "KS"
}
],
"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 Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.