Provider Demographics
NPI:1679566145
Name:BAINBRIDGE, JAMES SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SCOTT
Last Name:BAINBRIDGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7730 E BELLEVIEW AVE STE A200
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2617
Mailing Address - Country:US
Mailing Address - Phone:303-327-5511
Mailing Address - Fax:303-327-5512
Practice Address - Street 1:7730 E BELLEVIEW AVE
Practice Address - Street 2:SUITE A-104
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2603
Practice Address - Country:US
Practice Address - Phone:303-327-5511
Practice Address - Fax:303-327-5512
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO29017208100000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
C802313Medicare ID - Type Unspecified
COE91676Medicare UPIN