Roberts, Brad Alan

Roberts, Brad Alan is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Roberts, Brad Alan can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 584-4306
Fax: (719) 595-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2014-0800 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0054798 Colorado

Profile Details

NPI number 1538435698
LBN Legal business name Roberts, Brad Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Jul 1st, 2015 - 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 1538435698 NPPES
Colorado MEDICAID 72722801

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