Organization Active NPI

Bwana, LLC

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1851708861
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19555 Issued in CO
Legal business name
BWANA, LLC
Practice address
1930 S Federal Blvd
Denver, CO 80219-5501
Phone
(303) 935-9142
Fax
(303) 934-7332
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Alan J Spees, M.D.
Title
President
Phone
(303) 888-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 19555 CO Primary

Addresses

Primary practice location

1930 S Federal Blvd
Denver, CO 80219-5501

Mailing address

1930 S Federal Blvd
Denver, CO 80219-5501
Phone (303) 935-9142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1851708861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195501",
            "telephone_number": "303-935-9142",
            "fax_number": "303-934-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195501",
            "telephone_number": "303-935-9142",
            "fax_number": "303-934-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "SPEES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-888-8603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "19555",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 22, 2014; 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.