Organization Active NPI

Urology Consultants PC

  • Urology Physician
  • Pueblo, CO
National Provider Identifier
1144225624
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CONSULTANTS PC
Practice address
4100 Jerry Murphy Rd
Pueblo, CO 81001-1076
Phone
(719) 545-9713
Fax
(719) 545-2054
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Alan Wyche Bickel, M.D.
Title
Ceo
Phone
(719) 545-9713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4100 Jerry Murphy Rd
Pueblo, CO 81001-1076

Mailing address

4100 Jerry Murphy Rd
Pueblo, CO 81001-1076
Phone (719) 545-9713

Other identifiers 2

IdentifierTypeStateIssuer
RU608163OtherCOBLUE CROSS BLUE SHIELD
77878272MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1144225624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JERRY MURPHY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011076",
            "telephone_number": "719-545-9713",
            "fax_number": "719-545-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JERRY MURPHY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011076",
            "telephone_number": "719-545-9713",
            "fax_number": "719-545-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "WYCHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-545-9713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RU608163",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77878272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.