Individual provider Active NPI

James Robert Hubbard Jr., M.D.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1174650956
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0040938 Issued in CO
Practice address
5736 Adrienne CT
Colorado Springs, CO 80906-8257
Phone
(719) 576-2353
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 40938 CO
Family Medicine Physician 207Q00000X 0040938 CO Primary

Addresses

Primary practice location

5736 Adrienne CT
Colorado Springs, CO 80906-8257

Mailing address

5736 Adrienne CT
Colorado Springs, CO 80906-8257
Phone (719) 576-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170117000806 MS Practitioner - Preventive Medicine 6901713643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0040938COMDFamily Medicine Physician
40938COMDPreventive Medicine/Occupational Environmental Medicine Physician
R112510MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc CurrentSince Jan 3, 2017 Accepting new patients
North Mississippi Medical Clinics Inc Family Medicine CurrentSince Jan 3, 2017 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

844 S Madison St
Ste B
Tupelo, MS 38801
Phone (662) 377-5300

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

844 S Madison St
Tupelo, MS 38801
Phone (662) 377-5400

Interoperability endpoints

  • Direct secure messaging: jameshubbard@nmhs.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1174650956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 ADRIENNE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068257",
            "telephone_number": "719-576-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 ADRIENNE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068257",
            "telephone_number": "719-576-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CO",
            "license": "40938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0040938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.