Active NPI
Bryan G Baer, MD, Prof LLC
- Specialist
- Wheat Ridge, CO
National Provider Identifier
1508055237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28172
- Legal business name
- BRYAN G BAER, MD, PROF LLC
- Practice address
- 8550 W 38TH Ave
Ste 205
Wheat Ridge, CO 80033-4300 - Phone
- (303) 467-8991
- Fax
- (303) 467-9510
- NPI assigned
- Oct 18, 2007
- 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
- Dr. Bryan Gordon Baer, MD
- Title
- Owner
- Phone
- (303) 467-8991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 28172 | CO | Primary |
Addresses
Primary practice location
8550 W 38TH Ave
Ste 205
Wheat Ridge, CO 80033-4300
Mailing address
8550 W 38TH Ave
Ste 205
Wheat Ridge, CO 80033-4300
Phone (303) 467-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39023389 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
8550 W 38th Ave
Ste 205
Wheat Ridge, CO 80033
Phone (303) 425-2797
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Wheat Ridge, CO
- NPI 1316944820
-
- Registered Nurse First Assistant
- Wheat Ridge, CO
- NPI 1912124132
-
- Surgical Physician Assistant
- Wheat Ridge, CO
- NPI 1326088733
-
- Medical Physician Assistant
- Wheat Ridge, CO
- NPI 1114178662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1508055237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 W 38TH AVE",
"address_2": "STE 205",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334300",
"telephone_number": "303-467-8991",
"fax_number": "303-467-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 W 38TH AVE",
"address_2": "STE 205",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334300",
"telephone_number": "303-467-8991",
"fax_number": "303-467-9510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN G BAER, MD, PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "BAER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-467-8991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "28172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39023389",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.