Individual
SCOTT A BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MAIN ST, UNIT C-104, EDWARDS, CO 81632
(970) 766-8245
(970) 432-7065
Mailing address
280 MAIN ST, UNIT C-104, EDWARDS, CO 81632
(970) 766-8245
(970) 432-7065
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36941
CO
208VP0014X
Interventional Pain Medicine Physician
Primary
36941
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604688
BLUE CROSS BLUE SHIELD
CO
Enumeration date
03/15/2006
Last updated
07/21/2022
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