Warren Tripp, M.D. P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25330 Issued in CO

Legal business name

WARREN TRIPP, M.D. P.C.

Practice address

2800 Folsom St Ste C
Boulder, CO 80304-3768

Phone

(303) 442-6260

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Keli Brophy

Title

Office Manager

Phone

(303) 442-6260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1164604211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043768",
            "telephone_number": "303-442-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043768",
            "telephone_number": "303-442-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN TRIPP, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-442-6260"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "25330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013223",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Boulder, CO
• Providers in Boulder, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.