Mark S Fraley, D.O.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34357 Issued in CO

Legal business name

MARK S FRALEY, D.O.,P.C.

Practice address

2141 Academy Cir
Colorado Springs, CO 80909-1686

Phone

(719) 597-4200

Fax

(719) 597-4495

NPI assigned

Aug 28, 2007

Last updated

Oct 2, 2019By 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. Mark S Fraley, D.O.NPI 1134163819

Title

Owner

Phone

(719) 597-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

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.

• Mark S. Fraley, D.O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1134163819
  Authorized official Same address or phone
• Vernon Rubick, D.O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1134167562
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1225222748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091686",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091686",
            "telephone_number": "719-597-4200",
            "fax_number": "719-597-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S FRALEY, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-597-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "34357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225222748",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fraleyfamilypractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure",
            "address_1": "2141 Academy Cir",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mark J. Bentele, DDS, Ms, PC (Bentele Orthodontics)
• Mark T. Albers, D.D.S.
• Mark Walton, D.O., P.C.
• Dina Mark, M.ED, NCC
• Donna J Mark
• Melanie Markadakis, NP

• 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 Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.