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Individual

BRUCE M BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1252 COUNTY RD 8, KEYSTONE, CO 80435-8043
(970) 486-6677
(970) 486-7908
Mailing address
1252 CO RD 8, KEYSTONE, CO 80435

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
68575
AZ
207P00000X
Emergency Medicine Physician
Primary
C1665
KY
207P00000X
Emergency Medicine Physician
CP1117
NE
207P00000X
Emergency Medicine Physician
DR.0063634
CO
207P00000X
Emergency Medicine Physician
MD06899
RI
207R00000X
Internal Medicine Physician
MD12086
RI
2083X0100X
Occupational Medicine Physician
MD12086
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02/28/2006
NHPRI
RI
01
04/15/2009
UNITED HEALTHCARE
RI
01
07/01/2007
BCBS
RI
01
12/29/2008
TUFTS HEALTH PLAN
MA
01
1891719712
NPI
RI
05
6183921
MA
05
7000113
RI
05
7100925970
KY
01
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/26/2006
Last updated
03/05/2025
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