Stanley Gertzbein, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Basalt, CO
NPI 1992747620 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1992747620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 36831 (CO)
- Practice address
- 670 Frying Pan Rd
Basalt, CO 81621-9705 - Phone
- (713) 269-2266
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36831 | CO | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 36831 | CO | Yes |
Addresses
Primary practice location
670 Frying Pan Rd
Basalt, CO 81621-9705
Mailing address
670 Frying Pan Rd
Basalt, CO 81621-9705
Phone (713) 269-2266
Other providers in Basalt, CO
- Lauren Fouch
- Alyssa Franklin
- James Russell Fraser III
- Kristine Gatdula
- Laura A Geddes
- Paul L Glick
- Stephanie Rose Gorman
- Growth Early Childhood Behavior Consulting
- Jonathan James Haerter
- Haley Yost - Pediatric PT LLC
All providers in Basalt, CO · Orthopaedic Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.