Provider Demographics
NPI:1538245816
Name:BOEKES, CHAD EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:EUGENE
Last Name:BOEKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1151 ALOHA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108
Mailing Address - Country:US
Mailing Address - Phone:720-330-1305
Mailing Address - Fax:720-452-2079
Practice Address - Street 1:1151 ALOHA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-2833
Practice Address - Country:US
Practice Address - Phone:720-330-1305
Practice Address - Fax:720-452-2079
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2025-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.35716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01357169Medicaid
COE76235Medicare UPIN
CO370428Medicare ID - Type Unspecified