Dr. Brad Robin Baack
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon and 2 more
1850 Mountain View Ave
Longmont
, Colorado 80501-3212
Dr. Brad Robin Baack
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon and 2 more
1850 Mountain View Ave
Longmont
, Colorado 80501-3212
(970) 237-8035
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Brad Robin Baack
- 1850 Mountain View Ave
- Longmont, CO
- Zip : 80501-3212
- Fax : (970) 237-8035
- Phone : (720) 494-3118
Second Address
- Dr. Brad Robin Baack
- 1850 Mountain View Ave
- Longmont, CO
- Zip : 80501-3212
- Fax : (970) 237-8035
- Phone : (720) 494-3118
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 39315 | CO |
| Y | 207N00000X | Dermatologist | CDRH.0039315 | CO |
| N | 207N00000X | Dermatologist | DR.0039315 | CO |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 39315 | CO |
| N | 207ND0900X | Dermatopathologist | 39315 | CO |
| N | 207NS0135X | Procedural Dermatology | 39315 | CO |
National Provider Identifier
| NPI | 1104856061 |
|---|---|
| Provider Name | Dr. Brad Robin Baack |
| First Address | Longmont, CO 80501-3212 |
| Second Address | Longmont, CO 80501-3212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 06/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 17283779 | (05) | CO |
| E87716 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.