# ALPINE MEDICAL GROUP COLORADO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Centennial Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992639074
- **Authorized official:** TRACEY J BAUGHEY (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (956) 468-2999

## Contact information

- **Practice address:** 13111 E BRIARWOOD AVE STE 300, CENTENNIAL, CO 80112-3913
- **Practice address phone:** (303) 680-9150
- **Practice address fax:** (303) 680-9149
- **Mailing address:** 999 17TH ST STE 500, DENVER, CO 80202-2728
- **Mailing address phone:** (956) 468-2999
- **Mailing address fax:** (956) 468-2997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 09/17/2026