Active NPI
James R Hill, M.D.
- Family Medicine Physician
- Broomfield, CO
National Provider Identifier
1194748046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21225
- Practice address
- 1420 W Midway Blvd
Broomfield, CO 80020-2090 - Phone
- (303) 466-1866
- Fax
- (303) 466-4081
- NPI assigned
- Jul 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21225 | CO | Primary |
Addresses
Primary practice location
1420 W Midway Blvd
Broomfield, CO 80020-2090
Mailing address
1596 Wildwood LN
Boulder, CO 80305-6225
Phone (303) 494-5916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01212257 | Medicaid | CO | |
| H131936 | Other | CO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21225 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1194748046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1596 WILDWOOD LN",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056225",
"telephone_number": "303-494-5916",
"fax_number": "303-499-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W MIDWAY BLVD",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202090",
"telephone_number": "303-466-1866",
"fax_number": "303-466-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "21225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01212257",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H131936",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.