Gerrard-Gough, Brodie

Gerrard-Gough, Brodie is an individual health care provider with primary practice located at 2 S Cascade Ave 140, Colorado Springs CO 80903-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gerrard-Gough, Brodie can be contacted via phone (719) 538-2936.

Contact Information

Primary practice address
2 S Cascade Ave 140 Colorado Springs CO 80903-1624
Phone: (719) 538-2936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23946 Colorado

Profile Details

NPI number 1699741348
LBN Legal business name Gerrard-Gough, Brodie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 20th, 2007 - about 18 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 1699741348 NPPES
Colorado MEDICAID 01239466

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