Provider Demographics
NPI:1851329247
Name:BALDWIN, BRANDON P (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:P
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 E 35TH AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2461
Mailing Address - Country:US
Mailing Address - Phone:303-647-9196
Mailing Address - Fax:303-261-8165
Practice Address - Street 1:7505 E 35TH AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2461
Practice Address - Country:US
Practice Address - Phone:303-647-9196
Practice Address - Fax:303-261-8165
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008016111N00000X
FLCH9160111N00000X
COCHR6851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor