Provider Demographics
NPI:1518132521
Name:BARTZ, BRETT (MD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:
Last Name:BARTZ
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE275782085R0202X
KS04-368302085R0202X
HIMD174732085R0202X
CO505872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025709000Medicaid
KS201092100AMedicaid
NE84089712600Medicaid
NE84059792913Medicaid
NE10026277700Medicaid
NE10026277300Medicaid
NM31476082Medicaid
IA1518132521Medicaid
NE10026277400Medicaid
NE10026277500Medicaid
UT1518132521Medicaid
IL1518132521Medicaid
AZ897801Medicaid
NE10026277600Medicaid
NE10026277800Medicaid
NM31476082Medicaid
NE10026277800Medicaid
NE10026277600Medicaid
NEP01279769Medicare PIN
COP01104644Medicare PIN
COCOA106579Medicare PIN
CO324547ZLJ3Medicare PIN
NENA1215082Medicare PIN
IL1518132521Medicaid
IA1518132521Medicaid
NE10026277700Medicaid
KS111257070Medicare PIN
KSKA3249058Medicare PIN
NE84089712600Medicaid
NENA2517050Medicare PIN