Basic Information
Provider Information
NPI: 1952538316
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMITAGE
FirstName: BRYAN
MiddleName: MACLEOD
NamePrefix: DR.
NameSuffix:  
Credential: MD, MSC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 E HAMPDEN AVE STE 515
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801133880
CountryCode: US
TelephoneNumber: 3032092503
FaxNumber:  
Practice Location
Address1: 701 E HAMPDEN AVE STE 515
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801133880
CountryCode: US
TelephoneNumber: 3032092503
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2009
LastUpdateDate: 10/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XDR.0064461COY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X66076WIN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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