Provider Demographics
NPI:1619036407
Name:FRANZBROOKE, JAMES EARL (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EARL
Last Name:FRANZBROOKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10465 MELODY DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4119
Mailing Address - Country:US
Mailing Address - Phone:303-450-8214
Mailing Address - Fax:303-450-8218
Practice Address - Street 1:10465 MELODY DR
Practice Address - Street 2:SUITE 306
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4119
Practice Address - Country:US
Practice Address - Phone:303-450-8214
Practice Address - Fax:303-450-8218
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO29027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29027OtherSTATE LICENSE
CO01290279Medicaid
CO01290279Medicaid
CO3982Medicare ID - Type Unspecified