Active NPI
Eugene Alan Duboff, MD
- Psychiatry Physician
- Golden, CO
National Provider Identifier
1124262829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15993
- Practice address
- 25070 Montane Dr W
Golden, CO 80401-8506 - Phone
- (303) 981-6009
- Fax
- (303) 526-9581
- NPI assigned
- Apr 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15993 | CO | Primary |
Addresses
Primary practice location
25070 Montane Dr W
Golden, CO 80401-8506
Mailing address
25070 Montane Dr W
Golden, CO 80401-8506
Phone (303) 981-6009
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15993 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1124262829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25070 MONTANE DR W",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804018506",
"telephone_number": "303-981-6009",
"fax_number": "303-526-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25070 MONTANE DR W",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804018506",
"telephone_number": "303-981-6009",
"fax_number": "303-526-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOFF",
"first_name": "EUGENE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "15993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.