Provider Demographics
NPI:1689652554
Name:HUNTER, BRETT P (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:P
Last Name:HUNTER
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 1:1900 16TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-5114
Mailing Address - Country:US
Mailing Address - Phone:970-350-2427
Mailing Address - Fax:970-350-2421
Practice Address - Street 1:1900 16TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-5114
Practice Address - Country:US
Practice Address - Phone:970-350-2427
Practice Address - Fax:970-350-2421
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26117207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01261171Medicaid
COP00931187OtherMEDICARE RAILROAD CARRIER PTAN
COD24752Medicare UPIN
COP00931187OtherMEDICARE RAILROAD CARRIER PTAN
COCOA102133Medicare PIN