Provider Demographics
NPI:1851854269
Name:OLLESCH, BRIDGET L (MD)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:L
Last Name:OLLESCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 2300
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-667-7664
Mailing Address - Fax:970-622-9843
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 2300
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-667-7664
Practice Address - Fax:970-622-9843
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00706042084N0400X
UT11885655-12052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology