Dempsey, Bradley Glen

Dempsey, Bradley Glen is an individual health care provider with primary practice located at 902 Lakeview Ave , Pueblo CO 81004-3597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dempsey, Bradley Glen can be contacted via phone (719) 557-5855.

Contact Information

Primary practice address
902 Lakeview Ave Pueblo CO 81004-3597
Phone: (719) 557-5855
Fax: (719) 557-5097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6206 Nebraska
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0052763 Colorado

Profile Details

NPI number 1164656542
LBN Legal business name Dempsey, Bradley Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated Oct 25th, 2016 - about 9 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 1164656542 NPPES
Colorado Other 313101YSS8 MEDICARE PTAN
Colorado Other P01528181 MEDICARE PTAN
Colorado MEDICAID 97055280 MEDICARE PTAN

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