Individual
DR. BRAD ROBIN BAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4795 LARIMER PKWY STE 150, JOHNSTOWN, CO 80534-9588
(970) 342-2222
(970) 342-2233
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0039315
CO
207ND0101X
MOHS-Micrographic Surgery Physician
DR.0039315
CO
207ND0900X
Dermatopathology Physician
39315
CO
207NS0135X
Procedural Dermatology Physician
39315
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17283779
—
CO
Enumeration date
07/04/2006
Last updated
04/16/2026
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