Provider Demographics
NPI:1255424347
Name:BALLARD, ROBERT D (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:BALLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W DRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4485
Mailing Address - Country:US
Mailing Address - Phone:303-952-1100
Mailing Address - Fax:303-952-8185
Practice Address - Street 1:15 W DRY CREEK CIR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-952-1100
Practice Address - Fax:303-952-8185
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24334207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08522031OtherMEDICAID GROUP NUMBER
CO348308OtherMEDICARE GROUP NUMBER
CO01108497Medicaid
CO37528025OtherMEDICAID PRACTICE NUMBER
COC810776OtherMEDICARE GROUP NUMBER
CODN2433OtherRR MEDICARE GROUP
COC810776OtherMEDICARE GROUP NUMBER
CO01108497Medicaid
CO08522031OtherMEDICAID GROUP NUMBER