Organization Active NPI

Bruce a. Lockwood, M.D. Inc.

  • Specialist
  • Fort Collins, CO
National Provider Identifier
1407161128
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G88661 Issued in CA
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

Updated by the provider on Aug 18, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.