Provider Demographics
NPI:1144818857
Name:ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
Entity type:Organization
Organization Name:ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BEGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-419-7007
Mailing Address - Street 1:2500 E PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9718
Mailing Address - Country:US
Mailing Address - Phone:970-493-0112
Mailing Address - Fax:970-493-0521
Practice Address - Street 1:951 W. PLUM STREET
Practice Address - Street 2:MOBY ARENA 141
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-0129
Practice Address - Country:US
Practice Address - Phone:970-493-0112
Practice Address - Fax:970-493-0521
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty