Becker, Bruce M
Becker, Bruce M is an individual health care provider with primary practice located at 1252 County Rd 8 , Keystone CO 80435-8043. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Becker, Bruce M can be contacted via phone (970) 486-6677.Contact Information
Primary practice address
1252 County Rd 8
Keystone CO 80435-8043
Phone: (970) 486-6677
Fax: (970) 486-7908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0063634 | Colorado |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD06899 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD12086 | Rhode Island |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD12086 | Rhode Island |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C1665 | Kentucky |
Profile Details
| NPI number | 1891719712 |
|---|---|
| LBN Legal business name | Becker, Bruce M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891719712 | NPPES |
| Massachusetts | Other | 12/29/2008 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 939025129 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 02/28/2006 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 6183921 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 7000113 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 04/15/2009 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 1891719712 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 07/01/2007 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 7100925970 | TUFTS HEALTH PLAN |
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