# ANTHEM PRIMARY CARE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ANTHEM PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578332243
- **Authorized official:** TEJAS TRIPATHI MD (PHYSICIAN)
- **Authorized official phone:** (720) 456-5542

## Contact information

- **Practice address:** 16677 LOWELL BLVD STE 100, BROOMFIELD, CO 80023-8053
- **Practice address phone:** (720) 624-6323
- **Mailing address:** 1660 W 130TH CT, DENVER, CO 80234-2791
- **Mailing address phone:** (720) 624-6323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 12/22/2023