| Front Range Family Medicine | |
|
3260 E Woodmen Rd Suite 210 Colorado Springs CO 80920-3587 | |
| (719) 262-0852 | |
| (719) 262-0853 |
| Full Name | Front Range Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3260 E Woodmen Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Brad J Reedy (OWNER) |
| Authorized Official Contact | 7192620852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Family Medicine 3260 E Woodmen Rd Suite 210 Colorado Springs CO 80920-3587 Ph: (719) 262-0852 | Front Range Family Medicine 3260 E Woodmen Rd Suite 210 Colorado Springs CO 80920-3587 Ph: (719) 262-0852 |
| NPI Number | 1528275906 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/13/2007 |
| Medicare PECOS PAC ID | 4880642396 |
|---|---|
| Medicare Enrollment ID | O20050113001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528275906 | NPI | - | NPPES |
| 40494 | Other | CO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40494 (Colorado) | Primary |
| Provider Name | Brad J Reedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164519443 PECOS PAC ID: 5294783718 Enrollment ID: I20050111000544 |
| Provider Name | Marcia L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811026610 PECOS PAC ID: 1456424753 Enrollment ID: I20080721000074 |
| Provider Name | Bridget Lynn Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639445182 PECOS PAC ID: 7810207271 Enrollment ID: I20161229000062 |
| Provider Name | Melissa Kranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861068710 PECOS PAC ID: 9739589987 Enrollment ID: I20210715002263 |
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