Bethany Engblom
Medical Specialty
Professional ID
- NPI: 1134383516
- PECOS ID: 3274679220
- Enrollment ID: I20161004000152
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2009
Hospital Service
- Hospital CCN1: 060030
- Business Name (LBN)1: Mckee Medical Center
- Hospital CCN2: 060119
- Business Name (LBN)2: Medical Center Of The Rockies
Medical Practices
- Organization Name: Sunrise Community Health
- Group Practice ID assigned by PECOS: 0648164780
- Number of Group Practice member: 25
Location
- Address1: 2930 11th Ave
- Address2:
- City: Evans
- State: Colorado
- Zip Code: 80620
- Phone Number: (970)353-9403
Medical Practices
- Organization Name: Banner Health Physicians Colorado Llc
- Group Practice ID assigned by PECOS: 8921273038
- Number of Group Practice member: 274
Location
- Address1: 2555 E 13th St
- Address2: Suite 105
- City: Loveland
- State: Colorado
- Zip Code: 80537
- Phone Number: (970)820-6300
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):