Provider Demographics
NPI:1407426679
Name:DEBEER, BRAD (DC)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:
Last Name:DEBEER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S BELLAIRE ST STE 801
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4331
Mailing Address - Country:US
Mailing Address - Phone:720-994-2966
Mailing Address - Fax:
Practice Address - Street 1:1720 S BELLAIRE ST STE 801
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4331
Practice Address - Country:US
Practice Address - Phone:720-994-2966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008363111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COEL.2787245OtherCOLORADO DEPT. OF REGULATORY AGENCIES
COCHR.0008363OtherCOLORADO DEPT. OF REGULATORY AGENCIES