| Brock Eugene Boehm, DO | |
|
777 Bannock St # Mc3240, Denver, CO 80204-4597 | |
| (303) 436-6000 | |
| Not Available |
| Full Name | Brock Eugene Boehm |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 777 Bannock St # Mc3240, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700299773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0102204301 (Virginia) | Secondary |
| 208D00000X | General Practice | 0102204301 (Virginia) | Secondary |
| 208800000X | Urology | DR.0071211 (Colorado) | Primary |
| Entity Name | Denver Health And Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Eugene Boehm, DO 777 Bannock St, Denver, CO 80204-4507 Ph: (303) 436-6000 | Brock Eugene Boehm, DO 777 Bannock St # Mc3240, Denver, CO 80204-4597 Ph: (303) 436-6000 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 850 E Harvard Ave Ste 305, Denver, CO 80210 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Dustin R Ridout, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Dr. Michael E Chen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Dr. John Landiss Logan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Dr. Benjamin Carpenter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Kyle Walker Szymanski, MD Urology Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-7600 Fax: 303-602-7601 |