Groth, Bryan Alan

Groth, Bryan Alan is an individual health care provider with primary practice located at 455 E Pikes Peak Ave Ste 220 , Colorado Springs CO 80903-3673. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Groth, Bryan Alan can be contacted via phone (719) 475-8080.

Contact Information

Primary practice address
455 E Pikes Peak Ave Ste 220 Colorado Springs CO 80903-3673
Phone: (719) 475-8080
Fax: (719) 475-0913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 593 Colorado

Profile Details

NPI number 1235176546
LBN Legal business name Groth, Bryan Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 15th, 2021 - about 3 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 1235176546 NPPES
Colorado MEDICAID 85559075

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