Individual
DR. BRADLEY GIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1227 LAKE PLAZA DR STE B, COLORADO SPRINGS, CO 80906-7402
(719) 448-0981
(719) 448-0767
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME42784
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809474
BLUE CROSS BLUE SHIELD
CO
05
—
90236769
—
CO
Enumeration date
07/13/2007
Last updated
07/22/2018
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