Provider Demographics
NPI:1932183522
Name:LINK, DAVID BRIDWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRIDWELL
Last Name:LINK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2648
Mailing Address - Country:US
Mailing Address - Phone:303-734-2090
Mailing Address - Fax:303-734-2095
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:SUITE 380
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:303-734-2090
Practice Address - Fax:303-734-2095
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2015-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23628207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01236280Medicaid
COC54361Medicare UPIN
CO01236280Medicaid
COCOA103516Medicare UPIN