Provider Demographics
NPI:1902199342
Name:COLORADO PHYSICIAN INJURY NETWORK
Entity Type:Organization
Organization Name:COLORADO PHYSICIAN INJURY NETWORK
Other - Org Name:BERNARD H. GUIOT, M.D., FRCSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:BUIOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-231-8185
Mailing Address - Street 1:190 JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5913
Mailing Address - Country:US
Mailing Address - Phone:970-231-8185
Mailing Address - Fax:303-416-4335
Practice Address - Street 1:1 BROADWAY BLDG A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3959
Practice Address - Country:US
Practice Address - Phone:720-320-8440
Practice Address - Fax:303-416-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40332207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO98524241Medicaid
COCO304510Medicare PIN