Organization Active NPI

Martin S. Bohm, D.O., PLLC

Doing business as Alpine Meadows Medical Clinic, PLLC

  • Clinic/Center
  • Loveland, CO
National Provider Identifier
1255513677
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARTIN S. BOHM, D.O., PLLC
Doing business as
Alpine Meadows Medical Clinic, PLLC
Practice address
2802 Madison Square Dr
Suite 120
Loveland, CO 80538-3387
Phone
(970) 776-1950
Fax
(970) 776-1954
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Dr. Martin Scott Bohm, D.O.
Title
Physician
Phone
(970) 776-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CO Primary

Addresses

Primary practice location

2802 Madison Square Dr
Suite 120
Loveland, CO 80538-3387

Mailing address

2802 Madison Square Dr
Suite 120
Loveland, CO 80538-3387
Phone (970) 776-1950

Other identifiers 2

IdentifierTypeStateIssuer
44910OtherCOCOLORADO STATE LICENSE
70123012MedicaidCO

Other names 1

  • Alpine Meadows Medical Clinic, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2802 Madison Square Dr
Loveland, CO 80538
Phone (970) 663-5437

2802 Madison Square Dr
Ste 120
Loveland, CO 80538
Phone (970) 776-1950

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1255513677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 MADISON SQUARE DR",
            "address_2": "SUITE 120",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383387",
            "telephone_number": "970-776-1950",
            "fax_number": "970-776-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 MADISON SQUARE DR",
            "address_2": "SUITE 120",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383387",
            "telephone_number": "970-776-1950",
            "fax_number": "970-776-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S. BOHM, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "BOHM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-776-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "44910",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70123012",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Meadows Medical Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.