Provider Demographics
NPI:1407860018
Name:REGAN, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:REGAN
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 1:200 W COUNTY LINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2342
Mailing Address - Country:US
Mailing Address - Phone:303-791-8346
Mailing Address - Fax:303-683-5773
Practice Address - Street 1:200 W COUNTY LINE RD STE 100
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2342
Practice Address - Country:US
Practice Address - Phone:303-791-8346
Practice Address - Fax:303-683-5773
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01258110Medicaid
CO00085863OtherACP NUMBER
CO017371OtherKAISER COMMERICAL NUMBER
CO010017668OtherRAILROAD MEDICARE
CO025078217699OtherMED EDUCATION NUMBER
COC810901Medicare PIN
COE05475Medicare UPIN
COCOA101912Medicare PIN
CO010017668OtherRAILROAD MEDICARE