Provider Demographics
NPI:1750392528
Name:JAMROZ, BRANDT A (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDT
Middle Name:A
Last Name:JAMROZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 UNIVERSITY
Mailing Address - Street 2:SUITE 77
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206
Mailing Address - Country:US
Mailing Address - Phone:720-941-7000
Mailing Address - Fax:720-941-7070
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 77
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4616
Practice Address - Country:US
Practice Address - Phone:720-941-7000
Practice Address - Fax:720-941-7070
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO239802085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01239805Medicaid
COE34137Medicare UPIN
COH6448Medicare PIN