Brad Baack (NPI# 1104856061, PAC ID# 6204729734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1104856061 |
| PAC ID by PECOS | 6204729734 |
| Professional Enrollment ID | I20091228000454 |
| Full Name | Brad Baack |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Address |
1120 E Elizabeth St Fort Collins CO 80524-4044 |
| Phone Number | 9704846303 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8325337330 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1120 E Elizabeth St, Fort Collins, CO 80524-4044 | 9704846303 | ADVANCED DERMATOLOGY OF COLORADO PC |
| 1120 E Elizabeth St, Suite G2, Fort Collins, CO 80524-4044 | 9704846303 | ADVANCED DERMATOLOGY OF COLORADO PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF COLORADO PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narina Grove | Pathology | Advanced Dermatology of Colorado PC | 1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 |
| Samuel Blake Ecker | Dermatology | Advanced Dermatology of Colorado PC | 1006 Centre Ave, Fort Collins, CO 80526-1849 |
| Tyler O Vukmer | Dermatology | Advanced Dermatology of Colorado PC | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 |
| Matthew S Laffer | Dermatology | Advanced Dermatology of Colorado PC | 1551 Milky Way, Thornton, CO 80260-4713 |
| Kelly E Pavelich | Physician Assistant | Advanced Dermatology of Colorado PC | 9101 Harlan St, Unit 155, Westminster, CO 80031-2925 |
| Robert Henry Packer | Dermatology | Advanced Dermatology of Colorado PC | 3455 W Lutheran Pkwy, 110 Advanced Dermatology, Wheat Ridge, CO 80033-6041 |
| Robert Chase Wright | Dermatology | Advanced Dermatology of Colorado PC | 8550 W 38th Ave, Suite 108, Wheat Ridge, CO 80033-4341 |
| Anne Lise A Hultsch | Dermatology | Advanced Dermatology of Colorado PC | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 |
| Stephen P Castle | Dermatology | Advanced Dermatology of Colorado PC | 7251 W 20th St, Unit E, Greeley, CO 80634-4626 |
| Peggy B Liao | Dermatology | Advanced Dermatology of Colorado PC | 2200 E 18th Ave, Denver, CO 80206-1205 |
| Street Address |
1120 E ELIZABETH ST |
| City | FORT COLLINS |
| State | CO |
| Zip | 80524-4044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan G Ricci | Physician Assistant | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Christopher Mark Eriksen | Otolaryngology | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Melissa Marie Headley | Qualified Audiologist | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Matthew Lee Robertson | Otolaryngology | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Brenna Whittey | Qualified Audiologist | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Cheryl A Hadlock | Qualified Audiologist | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Sarvjit Singh Gill | Otolaryngology | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Renita Boesiger | Qualified Audiologist | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Andrea J Bieganski | Physician Assistant | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Rachel White | Qualified Audiologist | Alpine Ear Nose and Throat PC | 1120 E Elizabeth St, Suite F101, Fort Collins, CO 80524-4044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Traci Wilke | Physician Assistant | Dermatology of Northern Colorado P.C. | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 |
| Renee T Dutcher | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Stephanie J Speetzen | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lori Jean Croft | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Allison Margaret Oleary Williams | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Amy Jeanne Hartley | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Lindsay B Wilson | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Carole Way | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
| Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Charles L Miller | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
| Find all physicians in zip 80524 | |||
| City | FORT COLLINS |
| Zip Code | 80524 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT COLLINS + DERMATOLOGY |
Please comment or provide details below to improve the information on Brad Baack.
| 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.