Basic Information
| Provider Information | |||||||||
| NPI: | 1013271576 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DENVER BACK PAIN SPECIALISTS | ||||||||
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| OtherOrganizationName: | J SCOTT BAINBRIDGE, PC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 E ORCHARD RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037831300 | ||||||||
| FaxNumber: | 3037831200 | ||||||||
| Practice Location | |||||||||
| Address1: | 7800 E ORCHARD RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037831300 | ||||||||
| FaxNumber: | 3037831200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2012 | ||||||||
| LastUpdateDate: | 06/29/2012 | ||||||||
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| AuthorizedOfficialLastName: | BAINBRIDGE | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | SCOTT | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN/PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 3037831300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | N | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | 2081P2900X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine |
No ID Information.