Active NPI
Paul Edward Bauer, DO
- Diagnostic Radiology Physician
- Colorado Springs, CO
National Provider Identifier
1316999105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33233
- Practice address
- 3920 N Union Blvd
Colorado Springs, CO 80907-4900 - Phone
- (719) 268-3316
- Fax
- (719) 266-0466
- NPI assigned
- May 17, 2006
- Last updated
- May 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 33233 | CO | |
| Diagnostic Radiology Physician | 2085R0202X | 33233 | CO | Primary |
Addresses
Primary practice location
3920 N Union Blvd
Colorado Springs, CO 80907-4900
Mailing address
17450 Hopper Rd
Peyton, CO 80831-9533
Phone (719) 749-2625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43222889 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33233 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| New Schryver LLC | Past | Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients |
Interoperability endpoints
- paul.bauer@corhio.medicity.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mobile Radiology Clinic/Center
- Denver, CO
- NPI 1295849537
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1316999105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17450 HOPPER RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808319533",
"telephone_number": "719-749-2625",
"fax_number": "719-749-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-268-3316",
"fax_number": "719-266-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CO",
"license": "33233",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "33233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43222889",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.