Columbine Physician Coverage

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24338 Issued in CO

Legal business name

COLUMBINE PHYSICIAN COVERAGE

Practice address

1501 E 3Rd St
Delta, CO 81416-2815

Phone

(970) 874-7681

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Berkosky, MD

Title

Member

Phone

(970) 778-6708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1427397652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "970-874-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE PHYSICIAN COVERAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BERKOSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "970-778-6708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "24338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Department of Corrections
• Colorado Medical Practice
• Colorado West Ophthalmology Assoc. PC
• Colorado West Ophthalmology Assoc. PC
• Colorado West Otolaryngologists PC
• Columbine Rides LLC
• Hugh T Comer, MD
• Commonworks
• Community Medical Group (Surgical Associates of the Grand Valley Delta)
• Community Options, Inc.

• Internal Medicine Physician in Delta, CO
• Providers in Delta, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.