| Brian R Bishop Pc | |
|
3601 S Clarkson St Ste 100 Englewood CO 80113-3945 | |
| (720) 833-0400 | |
| (303) 788-7437 |
| Full Name | Brian R Bishop Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3601 S Clarkson St Ste 100, Englewood, Colorado |
| Authorized Official Name and Position | Brian Robert Bishop (PRESIDENT/CEO) |
| Authorized Official Contact | 7208330400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R Bishop Pc 3601 S Clarkson St Ste 100 Englewood CO 80113-3945 Ph: (720) 833-0400 | Brian R Bishop Pc 3601 S Clarkson St Ste 100 Englewood CO 80113-3945 Ph: (720) 833-0400 |
| NPI Number | 1144522970 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 08/04/2023 |
| Medicare PECOS PAC ID | 5698961688 |
|---|---|
| Medicare Enrollment ID | O20101202000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144522970 | NPI | - | NPPES |
| 47572582 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian R Bishop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907940 PECOS PAC ID: 6507052594 Enrollment ID: I20101202000771 |
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