Active NPI
Rebecca Marie Bub, D.O.
- Family Medicine Physician
- Littleton, CO
National Provider Identifier
1275822934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51165
- Practice address
- 13402 W Coal Mine Ave Ste 250
Littleton, CO 80127-5409 - Phone
- (720) 828-7873
- Fax
- (720) 815-0219
- NPI assigned
- Apr 4, 2011
- Sex
- Female
- 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 | 51165 | CO | Primary |
Addresses
Primary practice location
13402 W Coal Mine Ave Ste 250
Littleton, CO 80127-5409
Mailing address
13402 W Coal Mine Ave Ste 250
Littleton, CO 80127-5409
Phone (720) 828-7873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 12, 2019 through Aug 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51165 | CO | MD | Family Medicine Physician |
Interoperability endpoints
- rebecca.bub@137813957083140.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1275822934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE STE 250",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275409",
"telephone_number": "720-828-7873",
"fax_number": "720-815-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE STE 250",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275409",
"telephone_number": "720-828-7873",
"fax_number": "720-815-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUB",
"first_name": "REBECCA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "51165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.