Provider Demographics
NPI:1851301279
Name:MORGENSTERN, BRUCE LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:LEONARD
Last Name:MORGENSTERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 17528
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-0528
Mailing Address - Country:US
Mailing Address - Phone:405-682-3303
Mailing Address - Fax:405-384-6793
Practice Address - Street 1:10103 RIDGEGATE PKWY
Practice Address - Street 2:SUITE 213
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5520
Practice Address - Country:US
Practice Address - Phone:303-649-1320
Practice Address - Fax:303-649-1586
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO420372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO523928Medicare ID - Type Unspecified