Individual
TIMOTHY MICHAEL BRESNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43658
CO
208M00000X
Hospitalist Physician
12734
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12734
MT LICENSE
MT
01
—
43658
CO LICENSE
CO
05
—
71330089
—
CO
Enumeration date
07/10/2006
Last updated
03/06/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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