Individual provider Active NPI

Rebecca Marie Bub, D.O.

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1275822934
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51165 Issued in CO
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

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
51165COMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.