Active NPI
Alex Mark Wolbrink, M.D., M.S.
- Aerospace Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1164543724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- L9017
- Practice address
- 3472 Research Pkwy # 104-381
Colorado Springs, CO 80920-1066 - Phone
- (682) 233-2376
- Fax
- (888) 590-6008
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | L9017 | TX | Primary |
Addresses
Primary practice location
3472 Research Pkwy # 104-381
Colorado Springs, CO 80920-1066
Mailing address
3472 Research Pkwy # 104-381
Colorado Springs, CO 80920-1066
Phone (682) 233-2376
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9017 | TX | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1164543724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3472 RESEARCH PKWY # 104-381",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201066",
"telephone_number": "682-233-2376",
"fax_number": "888-590-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3472 RESEARCH PKWY # 104-381",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201066",
"telephone_number": "682-233-2376",
"fax_number": "888-590-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLBRINK",
"first_name": "ALEX",
"middle_name": "MARK",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "L9017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.