Gerrard-Gough, Brodie
Gerrard-Gough, Brodie is an individual health care provider with primary practice located at 2 S Cascade Ave 140, Colorado Springs CO 80903-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gerrard-Gough, Brodie can be contacted via phone (719) 538-2936.Contact Information
Primary practice address
2 S Cascade Ave 140
Colorado Springs CO 80903-1624
Phone: (719) 538-2936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23946 | Colorado |
Profile Details
| NPI number | 1699741348 |
|---|---|
| LBN Legal business name | Gerrard-Gough, Brodie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Dec 20th, 2007 - about 19 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 | 1699741348 | NPPES |
| Colorado | MEDICAID | 01239466 |
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