Family Doc, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38577 Issued in CO

Legal business name

FAMILY DOC, P.C.

Practice address

4736 Barnes Rd
Colorado Springs, CO 80917-1643

Phone

(719) 591-7400

Fax

(719) 591-6915

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

David S Gibbons, D.O.

Title

Owner

Phone

(719) 591-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171643",
            "telephone_number": "719-591-7400",
            "fax_number": "719-591-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171643",
            "telephone_number": "719-591-7400",
            "fax_number": "719-591-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-591-7400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54934770",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Center, LLC
• Family Care Colorado LLC
• Family Chiropractic
• Family Connect Inc.
• Family Counseling Solutions LLC
• Family First Hearing Center
• Family First Vision Care Colorado
• Family Healthcare Associates
• Family Home Health Care, LLC
• Family Integrative Health Center of Colorado Springs LLC

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, 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 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.