Kristin M Brousseau (NPI# 1124092283, PAC ID# 5193626539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROPSYCHIATRY.
Nation Provider ID (NPI) | 1124092283 |
PAC ID by PECOS | 5193626539 |
Professional Enrollment ID | I20040119000059 |
Full Name | Kristin M Brousseau |
Organization Legal Name | DEVELOPMENTAL DISABILITIES CENTER |
Address |
1400 Dixon Ave Lafayette CO 80026-2790 |
Phone Number | 3039163723 |
Gender | F |
Credential | DO |
Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1999 |
Primary Specialty | NEUROPSYCHIATRY |
Group Practice PAC ID | 5597766089 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060027 | BOULDER COMMUNITY HEALTH |
Address | Phone | Organization |
---|---|---|
1400 Dixon Ave, Lafayette, CO 80026-2790 | 3039163723 | DEVELOPMENTAL DISABILITIES CENTER |
Organization Legal Name | DEVELOPMENTAL DISABILITIES CENTER |
Physicians | 1 |
Street Address |
1400 DIXON AVE |
City | LAFAYETTE |
State | CO |
Zip | 80026-2790 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eva K Klemens | Clinical Social Worker | 1400 Dixon Ave, Lafayette, CO 80026-2790 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura B Duke | Chiropractic | 1280 Centaur Village Dr, Suite 8, Lafayette, CO 80026-1255 | |
Philip Jeffrey Keppeler | Obstetrics/gynecology | Clinica Campesina Family Health Services | 2000 W S Boulder Rd, Lafayette, CO 80026-1389 |
Heather L Fliege | Family Medicine | 308 W Baseline Rd, Lafayette, CO 80026-1719 | |
Mary L Louder | Family Medicine | 304 W Baseline Rd, Colorado Integrated Medical Center PC, Lafayette, CO 80026-1719 | |
Jeffrey R Gappa | Chiropractic | 304 W Baseline Rd, Lafayette, CO 80026-1719 | |
Sara Bw Kadlec | Physician Assistant | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
Stephen D Paul | Orthopedic Surgery | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
James B Rector | Orthopedic Surgery | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
Elizabeth L Hewes | Physician Assistant | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
Elizabeth Frances Yurth | Physical Medicine and Rehabilitation | Bouldercentre for Orthopedics PC | 1000 S Boulder Rd, Suite 218, Lafayette, CO 80026-2030 |
Find all physicians in zip 80026 |
City | LAFAYETTE |
Zip Code | 80026 |
Specialty | NEUROPSYCHIATRY |
City + Specialty | LAFAYETTE + NEUROPSYCHIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.