Philip Frederick Weber, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0018572 Issued in CO

Practice address

1155 Alpine Ave
Suite 360
Boulder, CO 80304-3495

Phone

(303) 938-3280

Fax

(303) 440-9629

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gloria Bachelder MD PC

  dba Home of the Healing Arts

  • Family Medicine Physician
  • Erie, CO
  • NPI 1063682375
  Medicare reassignment NPD
• Boulder Family Practice Clinic

  • Family Medicine Physician
  • Boulder, CO
  • NPI 1811976186
  NPD (past) Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1285613646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 LAKEBRIAR DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041004",
            "telephone_number": "303-444-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ALPINE AVE",
            "address_2": "SUITE 360",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043495",
            "telephone_number": "303-938-3280",
            "fax_number": "303-440-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "PHILIP",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0018572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01185727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie J Webber, RNFA
• Shannon Marie Webber
• Ben Weber
• Christina Alice Weber, DPM
• Deirdre Pottle Weber, MSPT
• Yvonne Bridgett Weber, DPM
• Anne Webster
• Rachel Weddle, MA, LMFT
• Karen Kissel Wegela, PH.D.
• Sammi Wehmuller

• Family Medicine Physician in Boulder, CO
• Providers in Boulder, 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 Jun 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.