Provider Demographics
NPI:1003166109
Name:ALBERT, JEFFREY MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARTIN
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11750 W 2ND PL STE 150
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1724
Mailing Address - Country:US
Mailing Address - Phone:720-321-8800
Mailing Address - Fax:720-321-8801
Practice Address - Street 1:11750 W 2ND PL STE 150
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1724
Practice Address - Country:US
Practice Address - Phone:720-321-8800
Practice Address - Fax:720-321-8801
Is Sole Proprietor?:No
Enumeration Date:2012-09-16
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00520952085R0001X
TXBP2-00351582085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology