Individual provider Active NPI

Eugene Walter Pflum, M.D.

  • Orthopaedic Surgery Physician
  • Breckenridge, CO
National Provider Identifier
1124059209
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16536 Issued in CO
Practice address
26 Forest Circle
Box 3657
Breckenridge, CO 80424-3657
Phone
(970) 453-7066
Fax
(970) 453-7066
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 16536 CO Primary

Addresses

Primary practice location

26 Forest Circle
Box 3657
Breckenridge, CO 80424-3657

Mailing address

26 Forest Circle
Box 3657
Breckenridge, CO 80424-3657
Phone (970) 453-7066

Other identifiers 3

IdentifierTypeStateIssuer
776742MedicaidAZ
000W7645MedicaidNM
01165364MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16536COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1124059209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FOREST CIRCLE",
            "address_2": "BOX 3657",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804243657",
            "telephone_number": "970-453-7066",
            "fax_number": "970-453-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FOREST CIRCLE",
            "address_2": "BOX 3657",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804243657",
            "telephone_number": "970-453-7066",
            "fax_number": "970-453-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUM",
        "first_name": "EUGENE",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "16536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776742",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000W7645",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01165364",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.