Brock Eugene Boehm, DO | |
777 Bannock St # Mc3240, Denver, CO 80204-4597 | |
(303) 436-6000 | |
Not Available |
Full Name | Brock Eugene Boehm |
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Gender | Male |
Speciality | Urology |
Location | 777 Bannock St # Mc3240, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700299773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0102204301 (Virginia) | Secondary |
208D00000X | General Practice | 0102204301 (Virginia) | Secondary |
208800000X | Urology | DR.0071211 (Colorado) | Primary |
Entity Name | Denver Health And Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
Mailing Address | Practice Location Address |
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Brock Eugene Boehm, DO 2204 Henderson Ave, Silver Spring, MD 20902-1942 Ph: (515) 505-0893 | Brock Eugene Boehm, DO 777 Bannock St # Mc3240, Denver, CO 80204-4597 Ph: (303) 436-6000 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 850 E Harvard Ave Ste 305, Denver, CO 80210 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Dustin R Ridout, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. Edward Allen Rhodes, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Austin Banning Derosa, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. John Landiss Logan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Dr. Benjamin Carpenter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 |