Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619215787 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Charles Elliott , MD

General Practice • Broomfield, CO

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Elliott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2013
NPI Deactivation Date January 28, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Elliott, MD was a registered General Practice practicing in Broomfield, CO. Throughout an active medical career spanning 9 years, Dr. Elliott provided care at the practice location at 1006 DEPOT HILL RD until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1006 Depot Hill Rd

Broomfield, CO 800206721

Telephone 9704125955
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Broomfield, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Broomfield, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 16741

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Anne Shopp , LMFT

Marriage & Family Therapist

NPI 1124100995

Licensed Marriage and Family Therapist

Dr. Eric Meyer , PhD, LPC, CAC III

Counselor - Professional

NPI 1578559662

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor, CACIII

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active January 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2013

Registered at 1006 DEPOT HILL RD, BROOMFIELD, CO 800206721 (Tel: 9704125955)

📍
Updated Business Mailing Address January 24, 2013

Registered at 4105 TEJON ST UNIT C, DENVER, CO 802111880 (Tel: 4064311921)

👤
Provider Name / Credentials Updated January 24, 2013

Recorded as STEPHEN ELLIOTT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2013

General Practice (License #16741 in CO)

🟢
Initial NPI Registration & Enumeration January 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stephen Elliott. Be the first to share your experience!

Sign in to leave a review for Dr. Stephen Elliott

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619215787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2013
Last Update: January 24, 2013
Deactivation Date: January 28, 2022

Mailing Address

4105 Tejon St Unit C

Denver, CO 802111880

Phone: 4064311921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.