Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERIK M BUGNO
Active Sole ProprietorPreferred Provider Organization · DENVER, CO
Registration Details
- NPI Number
- 1447847942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2020 (5.3104124480521 yrs)
- Last Updated
- Mar 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4852 W 14TH AVEDENVER, CO, 802041171Browse CO providers · Browse ZIP 80204
- Phone
- 3039550124
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.