| Nbba | |
|
1560 Broadway Ste 1600 Denver CO 80202-5160 | |
| (480) 493-0900 | |
| Not Available |
| Full Name | Nbba |
|---|---|
| Speciality | Clinic/Center |
| Location | 1560 Broadway Ste 1600, Denver, Colorado |
| Authorized Official Name and Position | Brittany Trevino-gombar (OWNER) |
| Authorized Official Contact | 6238245509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbba 10210 N 92nd St Ste 104 Scottsdale AZ 85258-4531 Ph: (480) 493-0900 | Nbba 1560 Broadway Ste 1600 Denver CO 80202-5160 Ph: (480) 493-0900 |
| NPI Number | 1336029925 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Medicare PECOS PAC ID | 1658862859 |
|---|---|
| Medicare Enrollment ID | O20251117000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336029925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Brooke Delgaudio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487439113 PECOS PAC ID: 3476905134 Enrollment ID: I20240118000298 |
| Provider Name | Adam Edward Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690201 PECOS PAC ID: 1153695010 Enrollment ID: I20240423000968 |
| Provider Name | Nickolus Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326853649 PECOS PAC ID: 0941721435 Enrollment ID: I20250313001156 |
| Provider Name | Brittini Zadaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033814173 PECOS PAC ID: 3375982473 Enrollment ID: I20251106002863 |
| Provider Name | Brittany Trevino-gombar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558670117 PECOS PAC ID: 2466844568 Enrollment ID: I20251117003844 |
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