Individual provider Active NPI

Dennis G Colbert, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1134201338
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RH827 Issued in MO
Practice address
7601 Natural Bridge Rd
Suite 103
Saint Louis, MO 63121-4904
Phone
(314) 383-5221
Fax
(314) 383-5228
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RH827 MO Primary

Addresses

Primary practice location

7601 Natural Bridge Rd
Suite 103
Saint Louis, MO 63121-4904

Mailing address

7601 Natural Bridge Rd
Suite 103
Saint Louis, MO 63121-4904
Phone (314) 383-5221

Other identifiers 1

IdentifierTypeStateIssuer
203628011MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20081114000516 MO Practitioner - Internal Medicine 4284794694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7601 Natural Bridge Rd
Suite 103
Saint Louis, MO 63121-4921
Phone (314) 383-5221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RH827MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colbert Healthcare & Preventive Wellness, P.C. CurrentSince Apr 29, 2008 Accepting new patients

Locations

7601 Natural Bridge Rd
Ste 103
Saint Louis, MO 63121
Phone (314) 383-5221

7601 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 383-5221

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1134201338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 NATURAL BRIDGE RD",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214904",
            "telephone_number": "314-383-5221",
            "fax_number": "314-383-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 NATURAL BRIDGE RD",
            "address_2": "SUITE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214904",
            "telephone_number": "314-383-5221",
            "fax_number": "314-383-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "DENNIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "RH827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203628011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.