Rand Lee Colbert, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

64960371205 Issued in UT

Practice address

166 W 1325 N
#250
Cedar City, UT 84721-7794

Phone

(435) 586-6440

Fax

(435) 586-6441

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• UT PPO
• UT PPO D-SNP

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

• Cedar Dermatology PLLC

  • Dermatology Physician
  • Cedar City, UT
  • NPI 1902041668
  Medicare reassignment NPD Authorized official
• Central Utah Dermatology

  • Dermatology Physician
  • Richfield, UT
  • NPI 1245863893
  Medicare reassignment NPD
• Southwest Skin and Cancer LLC

  • Specialist
  • St George, UT
  • NPI 1619929783
  NPD (past)
• Tuttle Dermatology PC

  • Dermatology Physician
  • St George, UT
  • NPI 1598261869
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1073692380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "#250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217794",
            "telephone_number": "435-586-6440",
            "fax_number": "435-586-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "#250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217794",
            "telephone_number": "435-586-6440",
            "fax_number": "435-586-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "RAND",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "47518020",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "12215",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "64960371205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512577",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Brent Clark, ACMHC
• Ricky Lee Clements, LCSW
• David Coan I, CSW
• Sarah Coan, ACMHC
• Marla Colberg
• Collective Counseling and Coaching
• Brianna Collins
• Michael Allen Collins
• Color Country Pediatrics, LLC
• Renee Colson

• Dermatology Physician in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.