Provider Demographics
NPI:1609885326
Name:SCOTT A. BRANDT, M.D., P.C.
Entity Type:Organization
Organization Name:SCOTT A. BRANDT, M.D., P.C.
Other - Org Name:DENVER PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-956-4628
Mailing Address - Street 1:7447 E BERRY AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2142
Mailing Address - Country:US
Mailing Address - Phone:303-689-2300
Mailing Address - Fax:303-689-2301
Practice Address - Street 1:7447 E BERRY AVE STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2142
Practice Address - Country:US
Practice Address - Phone:303-689-2300
Practice Address - Fax:303-689-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36941208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF68027Medicare UPIN
COC806955Medicare PIN