NPI 1508061680 · live from the CMS NPI Registry
Jeffrey Allen Bontrager, M.D.
Pediatrics, Pediatric Emergency Medicine in Denver, CO. National Provider Identifier 1508061680, active.
NPI record
| NPI | 1508061680 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 835 E 18th Ave Ste 110, Denver, CO 80218 |
| Practice phone | 303-825-4646 |
| Enumerated | June 18, 2007 |
| Last updated | December 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 50240 (CO) |
| Pediatrics | 208000000X | 50240 (CO) |
| Hospitalist | 208M00000X | 50240 (CO) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | DR.0050240 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.