NPIMap

Individual provider Active NPI

Gloria Patricia Oberbeck, MD

  • Family Medicine Physician
  • Erie, CO
National Provider Identifier
1063549749
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32141 Issued in CO
Practice address
636 Kattell St
Erie, CO 80516-0445
Phone
(303) 828-9200
Fax
(303) 828-9204
NPI assigned
Feb 28, 2007
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32141 CO Primary

Addresses

Primary practice location

636 Kattell St
Erie, CO 80516-0445

Mailing address

PO Box 445
Erie, CO 80516-0445
Phone (303) 828-9200

Other identifiers 1

IdentifierTypeStateIssuer
C803326OtherCOMEDICARE GROUP PIN

Other names 1

  • Gloria Patricia Bachelder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005001078 CO Practitioner - Family Practice 2769466069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

636 Kattell St
Home of the Healing Arts
Erie, CO 80516-0445
Phone (303) 828-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32141COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria Bachelder MD PC Family Medicine CurrentSince Sep 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gloria.oberbeck@82693031723012.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 51

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1063549749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805160445",
            "telephone_number": "303-828-9200",
            "fax_number": "303-828-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KATTELL ST",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805160445",
            "telephone_number": "303-828-9200",
            "fax_number": "303-828-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERBECK",
        "first_name": "GLORIA",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "C803326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "BACHELDER",
            "middle_name": "PATRICIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.