Individual
BRYAN G BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 LUTHERAN PKWY, SUITE #380, WHEAT RIDGE, CO 80033-6021
(303) 940-8200
(303) 940-8400
Mailing address
3555 LUTHERAN PKWY, SUITE #380, WHEAT RIDGE, CO 80033-6021
(303) 940-8200
(303) 940-8400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28172
CO
208600000X
Surgery Physician
Primary
DR.0028172
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271724
—
CO
01
—
020040609
MEDICARE RAILROAD
CO
05
—
39023389
—
CO
01
—
4134658
AETNA
CO
01
—
800330000
TRICARE
CO
01
—
84091995302
PACIFICARE
CO
01
—
841749744001
RMHP
CO
01
—
BA05301
ANTHEM INDIVIDUAL
CO
Enumeration date
06/30/2005
Last updated
02/03/2015
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