Active NPI
Bruce a. Lockwood, M.D. Inc.
- Specialist
- Fort Collins, CO
National Provider Identifier
1407161128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G88661
- Legal business name
- BRUCE A. LOCKWOOD, M.D. INC.
- Practice address
- 1300 Oakridge Dr
Suite 130
Fort Collins, CO 80525-5564 - Phone
- (970) 377-9555
- NPI assigned
- Aug 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shandel Schroder
- Title
- Billing Manager
- Phone
- (303) 922-4636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G88661 | CA | Primary |
Addresses
Primary practice location
1300 Oakridge Dr
Suite 130
Fort Collins, CO 80525-5564
Mailing address
1300 Oakridge Dr
Suite 130
Fort Collins, CO 80525-5564
Phone (970) 377-9555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1407161128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 OAKRIDGE DR",
"address_2": "SUITE 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255564",
"telephone_number": "970-377-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 OAKRIDGE DR",
"address_2": "SUITE 130",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255564",
"telephone_number": "970-377-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE A. LOCKWOOD, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "SCHRODER",
"authorized_official_first_name": "SHANDEL",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "303-922-4636"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G88661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.