Active NPI
Bobby D. Howard, D.O.
- Family Medicine Physician
- Del Norte, CO
National Provider Identifier
1396789772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40752
- 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, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42235715 | 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 |
|---|---|---|---|
| 40752 | CO | MD | Family 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
- Healthcare and Rehab of del Norte LLC (Casa Illuminaria Care Center)
- Healthone Clinic Services - Pediatric Specialties LLC
- Healthone Heart Care LLC
- Heidi E Helgeson, MD
- Home Town Healthcare
- William Grant Hurley, APN
- Joanne L Kaufman, NCMT
- Patricia Anne Kelley
- Dianne Catherine Koshak, RN
- Kiley R Lohr
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.