Individual provider Active NPI

Bobby D. Howard, D.O.

  • Family Medicine Physician
  • Del Norte, CO
National Provider Identifier
1396789772
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40752 Issued in CO
Practice address
0310C County Road 14
Del Norte, CO 81132-8719
Phone
(719) 657-2418
Fax
(719) 657-3317
NPI assigned
Jun 15, 2006
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40752 CO Primary

Addresses

Primary practice location

0310C County Road 14
Del Norte, CO 81132-8719

Mailing address

0310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510

Other identifiers 1

IdentifierTypeStateIssuer
42235715MedicaidCO

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

LicenseStateTypeSpecialty
40752COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1396789772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0310C COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2418",
            "fax_number": "719-657-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BOBBY",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42235715",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Norte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.