Neiel D Baronberg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17261 Issued in CO

Practice address

2480 S Downing St
Suite 100
Denver, CO 80210-5890

Phone

(303) 777-5455

Fax

(303) 777-1175

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1679510077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-777-5455",
            "fax_number": "303-777-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-777-5455",
            "fax_number": "303-777-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARONBERG",
        "first_name": "NEIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "17261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "28606",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH",
            "identifier": "840826594001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172618",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE/EYE SPECIALIST",
            "identifier": "920523",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Scott Barnkow, AU.D.
• Maeline Barnstable, M.A., CCC-SLP
• Amanda Nicole Baroch, M.S. CCC-SLP
• Giancarlo Barolat-Romana, MD
• Jeffrey Baron, AU.D.
• Ben Barone, MSW-CCFC
• Jerry J Baros, MD
• Lia Darlene Baros
• Barotz Dental
• Charles Stuart Barotz, D.D.S.

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.