Provider Demographics
NPI:1487126124
Name:ALTITUDE KIDNEY HEALTH PLLC
Entity type:Organization
Organization Name:ALTITUDE KIDNEY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:BROOKENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-500-3439
Mailing Address - Street 1:1260 S PARKER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8064
Mailing Address - Country:US
Mailing Address - Phone:720-500-3439
Mailing Address - Fax:855-712-9183
Practice Address - Street 1:1260 S PARKER RD STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-8064
Practice Address - Country:US
Practice Address - Phone:720-500-3439
Practice Address - Fax:855-712-9183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty