Provider Demographics
NPI:1245422948
Name:BEAR, JOCELYN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:ELIZABETH
Last Name:BEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:ELIZABETH
Other - Last Name:VITALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:106 NOLAND CT
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:CO
Mailing Address - Zip Code:80540-3802
Mailing Address - Country:US
Mailing Address - Phone:303-775-4210
Mailing Address - Fax:
Practice Address - Street 1:106 NOLAND CT
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:CO
Practice Address - Zip Code:80540-3802
Practice Address - Country:US
Practice Address - Phone:720-414-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00479132084H0002X
CO00479132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine