Provider Demographics
NPI:1700559127
Name:BRANIN BROOMFIELD, PLLC
Entity type:Organization
Organization Name:BRANIN BROOMFIELD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CDO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIGGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-875-8896
Mailing Address - Street 1:3 SUPERIOR DR STE 275
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8657
Mailing Address - Country:US
Mailing Address - Phone:303-875-8896
Mailing Address - Fax:
Practice Address - Street 1:340 E 1ST AVE STE 205
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2454
Practice Address - Country:US
Practice Address - Phone:720-784-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRANIN JV, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-30
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental