Active NPI
Antony Nguyen Vanbang, MD
- General Practice Physician
- Denver, CO
National Provider Identifier
1679747216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DR.0054747
- Practice address
- 1701 S Federal Blvd # D
Denver, CO 80219-4898 - Phone
- (303) 936-1760
- Fax
- (303) 934-4036
- NPI assigned
- Apr 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DR.0054747 | CO | Primary |
| General Practice Physician | 208D00000X | 13674 | NE |
Addresses
Primary practice location
1701 S Federal Blvd # D
Denver, CO 80219-4898
Mailing address
1701 S Federal Blvd # D
Denver, CO 80219-4898
Phone (303) 936-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000138028 | Medicaid | CO |
Other names 1
- Bang Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003006579 | CO | Practitioner - Family Practice | 4587730387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054747 | CO | MD | General Practice Physician |
| 13674 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio Medical Center | Current | Accepting new patients | |
| Urgent Care 9 to 9 | Past | Accepting new patients |
Locations
1701 S Federal Blvd
#D
Denver, CO 80219
Phone (303) 936-1760
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Denver, CO
- NPI 1841740438
-
- Urgent Care Clinic/Center
- Denver, CO
- NPI 1053069963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1679747216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S FEDERAL BLVD # D",
"city": "DENVER",
"state": "CO",
"postal_code": "802194898",
"telephone_number": "303-936-1760",
"fax_number": "303-934-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S FEDERAL BLVD # D",
"city": "DENVER",
"state": "CO",
"postal_code": "802194898",
"telephone_number": "303-936-1760",
"fax_number": "303-934-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBANG",
"first_name": "ANTONY NGUYEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CO",
"license": "DR.0054747",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "13674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000138028",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BANG",
"last_name": "NGUYEN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.