Dr Higgins Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26859 Issued in CO

Legal business name

DR HIGGINS FAMILY PRACTICE PC

Practice address

1304 N Academy Blvd
Suite 208
Colorado Springs, CO 80909-3325

Phone

(719) 596-6700

Fax

(719) 596-6702

NPI assigned

Aug 1, 2006

Last updated

Apr 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles P Higgins, D. O.NPI 1083653307

Title

President

Phone

(719) 596-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles P Higgins, D. O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1083653307
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397347200000",
    "number": "1194731612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 208",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-596-6700",
            "fax_number": "719-596-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 208",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-596-6700",
            "fax_number": "719-596-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HIGGINS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-04-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-596-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "26859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88584241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.