Provider Demographics
NPI:1841380474
Name:BESS, ROBERT SHAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SHAY
Last Name:BESS
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 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-563-2755
Mailing Address - Fax:303-861-6219
Practice Address - Street 1:1601 E 19TH AVE STE 6250
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1291
Practice Address - Country:US
Practice Address - Phone:303-563-2755
Practice Address - Fax:303-861-6219
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99663174400000X
CO44909207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025609200Medicaid
NE10025913900Medicaid
SD1841380474Medicaid
WY1841380474Medicaid
NE10025913800Medicaid
CO10605762Medicaid
NE10025839700Medicaid
SD1841380474Medicaid
COCO304018Medicare PIN
NE10025913900Medicaid