National Provider Identifier
Matthew Baird Brougham, D.O.
Matthew Baird Brougham, D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-1499.
Profile Overview
- NPI
- 1245550995
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- June 04, 2010
- Last Updated
- July 31, 2013
Practice Location
- 100 High St
- Dept Of Emergency Medicine
- Buffalo, NY 14203-1126
Phone: (716) 859-1499
Mailing Address
- 3329 S Fellet Ct
- Lakewood, CO 80227-5301
Specialties
- Emergency Medicine Physician (207P00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1245550995
- Entity Type
- Individual
- Last Name
- Brougham
- First Name
- Matthew
- Middle Name
- Baird
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 3329 S Fellet Ct
- Mailing City
- Lakewood
- Mailing State
- CO
- Mailing ZIP Code
- 80227-5301
- Mailing Country
- US
- Mailing Phone
- (303) 524-2798
- Practice Street Address
- 100 High St
- Practice Address Line 2
- Dept Of Emergency Medicine
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-1499
- Enumeration Date
- June 04, 2010
- Last Updated
- July 31, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)