DR. MARK WILSON BRUNVAND (NPI# 1891779534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891779534 |
| Entity Type | Individual |
| Full Name | DR. MARK WILSON BRUNVAND |
| Credential | MD |
| Practice Address |
1721 E 19th Ave Ste 300 Denver CO 80218-1251 |
| Mailing Address |
4900 S Monaco St Suite 210 Denver CO 80237-3486 |
| Practice Telephone | 7207544800 |
| Practice Fax Number | 7207544801 |
| Mailing Telephone | 7207544800 |
| Mailing Fax Number | 7207544801 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
26243 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01026244 | 05 | |
| NE | 10025893500 | 05 | |
| NM | 37709003 | 05 | |
| WY | 1891779534 | 05 | |
| KS | 200604790B | 05 | |
| WY | 117831800 | 05 | |
| KS | 200604791B | 05 |
| Street Address |
1721 E 19TH AVE STE 300 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171767 | Bridget Louis | Physician Assistant | 1721 E 19th Ave, Denver, CO 80218-1251 | 2018-07-24 |
| 1386149532 | Sarah Marie Robbins | Nurse Practitioner | 1721 E 19th Ave, Ste 200-300, Denver, CO 80218 | 2018-03-29 |
| 1912426578 | Kate Mimken | Nurse Practitioner | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-09-14 |
| 1205360062 | Kyle Mckey | Ophthalmology | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-04-18 |
| 1639602113 | Whitney Sumner | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, #520, Denver, CO 80218-1251 | 2017-04-11 |
| 1043743883 | Christopher Ryan Deig | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, #520, Denver, CO 80218-1251 | 2017-04-08 |
| 1053844860 | Jamie Holtz | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, Denver, CO 80218-1251 | 2017-04-07 |
| 1295181493 | Mark D Mayeda | Student in an Organized Health Care Education/Training Program | 1721 E 19th Ave, Denver, CO 80218-1251 | 2016-05-06 |
| 1114372992 | Jody Halouska | Dietitian, Registered | 1721 E 19th Ave, Denver, CO 80218-1251 | 2016-04-28 |
| 1902292634 | Laboratory Corporation of America | Clinical Medical Laboratory | 1721 E 19th Ave, Suite 500, Denver, CO 80218-1251 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1598706186 | Deborah R Cook | Internal Medicine | 1825 Marion St, Denver, CO 80218-1122 | 2006-06-08 |
| 1982675500 | Martin Joseph Rubinowitz | Internal Medicine | 1960 Ogden St Ste 310, Denver, CO 80218-3674 | 2006-01-31 |
| 1922082643 | Alan S Feiner | Internal Medicine | 4700 East Hale Pkwy, Ste 400, Denver, CO 80220-4045 | 2005-12-06 |
| 1528042249 | Scott Irvin Bearman | Internal Medicine | 1721 E 19th Ave Ste 300, Denver, CO 80218-1258 | 2005-12-06 |
| 1134103476 | Robert Melvin Rifkin | Internal Medicine | 1800 Williams St, Ste 200, Denver, CO 80218 | 2005-11-30 |
| 1215911540 | Scot M Sedlacek | Internal Medicine | 4700 E. Hale Parkway, Ste 400, Denver, CO 80220 | 2005-11-30 |
| 1588278519 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-09-08 |
| 1558975953 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1825 N Marion St, Denver, CO 80218-1122 | 2020-09-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.