Active NPI
David Arden Hull, D.O.
- Family Medicine Physician
- Ft. Carson, CO
National Provider Identifier
1174594071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0046223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000758 | CO | Order and Referring Only - Family Practice | 3971778465 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1566 | IA | MD | Optometrist |
| 0046223 | CO | MD | Family Medicine Physician |
| 35407 | MO | MD | Family Medicine Physician |
| 01566 | IA | MD | Occupational 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.