Provider Demographics
NPI:1518075951
Name:BENKERT, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:BENKERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5728 S GALLUP ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2193
Mailing Address - Country:US
Mailing Address - Phone:303-347-9402
Mailing Address - Fax:303-347-9403
Practice Address - Street 1:9201 W 44TH AVENUE
Practice Address - Street 2:UNIT B
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-431-3727
Practice Address - Fax:303-431-3692
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO33028207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01330281Medicaid
84131626301OtherSECURE HORIZONS
84131626301OtherPACIFICARE
84131626301OtherPACIFICARE
CO01330281Medicaid