NPI 1104856061 · live from the CMS NPI Registry
Brad Robin Baack, M.D.
Dermatology in Montrose, CO. National Provider Identifier 1104856061, active.
NPI record
| NPI | 1104856061 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3480 Wolverine Dr Ste F, Montrose, CO 81401 |
| Practice phone | 970-252-7444 |
| Mailing address | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431 |
| Enumerated | July 4, 2006 |
| Last updated | August 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | 39315 (CO) |
| Dermatology, Dermatopathology | 207ND0900X | 39315 (CO) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | DR.0039315 (CO) |
| Dermatology primary | 207N00000X | DR.0039315 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.