Provider Demographics
NPI:1922217884
Name:SCHULTZ, BRETT ALISON (DO)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ALISON
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRETT
Other - Middle Name:ALISON
Other - Last Name:HIGBIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:80 HEALTH PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9584
Mailing Address - Country:US
Mailing Address - Phone:303-665-1045
Mailing Address - Fax:303-661-9195
Practice Address - Street 1:80 HEALTH PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9584
Practice Address - Country:US
Practice Address - Phone:303-665-1045
Practice Address - Fax:303-661-9195
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0050377207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOAAA1593OtherMEDICARE PTAN
CO64582787Medicaid