Bernard Thomas Leonelli, Physician Assistant
Physician Assistant in Denver, CO. Individual provider (NPI-1).
NPI number1013674399
StatusActive
Last updated in NPPESNov 22, 2021
Details
- NPI
- 1013674399
- Entity type
- Individual (NPI-1)
- Name
- Bernard Thomas Leonelli
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2021
- Certification date
- Nov 22, 2021
- Last updated
- Nov 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0007201 | CO | Yes |
Practice location
490 W Colfax AveDenver, CO 80204-2607
Phone 720-337-0200
Mailing address
3200 W Colfax Ave Apt 427Denver, CO 80204-2322
Phone 219-671-1699
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