Sopris Medical Practice, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

37578 Issued in CO

Legal business name

SOPRIS MEDICAL PRACTICE, P.C.

Practice address

1450 E Valley Rd
Suite 101
Basalt, CO 81621-8304

Phone

(979) 927-1444

Fax

(970) 927-1450

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Keefe Bowen, MD

Title

Owner

Phone

(970) 927-1444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1386879831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 101",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "979-927-1444",
            "fax_number": "970-927-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 101",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "979-927-1444",
            "fax_number": "970-927-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPRIS MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "KEEFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "37578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "37578",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Smith
• Karen Lajoy Smith, L.P.C.
• Sodawellness
• Grace Song, P.A.
• Sopris Chiropractic PC
• Sopris Rehabilitation Services
• Jillian Standley, MA, LPCC
• Steadman Clinic Professional LLC
• Karen Chrisholm Stevenson, PHYSICAL THERAPIST
• Carly Ann Stillman, PA-C

• Clinic/Center in Basalt, CO
• Providers in Basalt, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.