Individual provider Active NPI

David Arden Hull, D.O.

  • Family Medicine Physician
  • Ft. Carson, CO
National Provider Identifier
1174594071
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0046223 Issued in CO
Practice address
USA Meddac Evans Army Community Hospitol
Robinson Clinic
Ft. Carson, CO 80913-4604
Phone
(719) 526-7764
Fax
(719) 524-2258
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35407 MO
Family Medicine Physician 207Q00000X 01566 IA
Family Medicine Physician 207Q00000X 0046223 CO Primary

Addresses

Primary practice location

USA Meddac Evans Army Community Hospitol
Robinson Clinic
Ft. Carson, CO 80913-4604

Mailing address

USA Meddac Evens Army Community Hospitol
1650 Cochrane Circle Attn: Credentials Office
Ft. Carson, CO 80913-4604
Phone (719) 526-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111212000758 CO Order and Referring Only - Family PracticePractitioner - Family Practice 3971778465

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1566IAMDOptometrist
0046223COMDFamily Medicine Physician
35407MOMDFamily Medicine Physician
01566IAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1174594071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC EVENS ARMY COMMUNITY HOSPITOL",
            "address_2": "1650 COCHRANE CIRCLE ATTN: CREDENTIALS OFFICE",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC EVANS ARMY COMMUNITY HOSPITOL",
            "address_2": "ROBINSON CLINIC",
            "city": "FT. CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7764",
            "fax_number": "719-524-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "DAVID",
        "middle_name": "ARDEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "35407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0046223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Carson, CO

Sources for this page

Verify at the official NPI Registry.