Bridenstine, Mark

Bridenstine, Mark is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bridenstine, Mark can be contacted via phone (720) 494-3119.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (720) 494-3119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48813 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48813 Colorado

Profile Details

NPI number 1508062993
LBN Legal business name Bridenstine, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Oct 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508062993 NPPES
Colorado MEDICAID 48539058

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