Provider Demographics
NPI:1164599585
Name:SUNDLAND, BARRY RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:RICHARD
Last Name:SUNDLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1707 COLE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3219
Mailing Address - Country:US
Mailing Address - Phone:303-763-4900
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:1421 S POTOMAC ST
Practice Address - Street 2:SUITE 320
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4535
Practice Address - Country:US
Practice Address - Phone:303-750-1920
Practice Address - Fax:303-750-0483
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO26440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01264407Medicaid
CO840770897OtherTAX ID
CO28048Medicare UPIN