Provider Demographics
NPI:1891057923
Name:MCBRIDE, JAMES ABRAM (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ABRAM
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:511 MOUNTAIN PASS VW
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7780
Mailing Address - Country:US
Mailing Address - Phone:434-907-1704
Mailing Address - Fax:
Practice Address - Street 1:1010 THREE SPRINGS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8296
Practice Address - Country:US
Practice Address - Phone:970-764-3845
Practice Address - Fax:970-764-3823
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0060502208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology