Robert L Drake MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

CO23912 Issued in CO

Legal business name

ROBERT L DRAKE MD

Practice address

1619 N Greenwood
Ste 107
Pueblo, CO 81003

Phone

(719) 545-0182

Fax

(719) 545-1332

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lewis Drake, MDNPI 1700066735

Title

Owner

Phone

(719) 545-0182

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L Drake, MD

  • Internal Medicine Physician
  • Pueblo, CO
  • NPI 1700066735

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366469306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD",
            "address_2": "STE 107",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-545-0182",
            "fax_number": "719-545-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD",
            "address_2": "STE 107",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-545-0182",
            "fax_number": "719-545-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L DRAKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-545-0182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CO23912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239128",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda D Robb
• Jonne A Robbins, DENTAL ASSISTANT
• Jackie Lynette Roberson
• Robert B Goos
• Robert K Browder Inc
• Andrew B. Roberts, M.D.
• Brad Alan Roberts, M.D.
• Collin Roberts, DO
• Jennifer Rae Roberts, CNM
• Laceen Marie Roberts, CAT

• All providers in Pueblo, CO
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.