Individual provider Active NPI

Thomas Pulk, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1447249065
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23057 Issued in CO
Practice address
1515 Wazee St
Unit D
Denver, CO 80202-1478
Phone
(303) 534-9550
Fax
(720) 932-7805
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23057 CO Primary

Addresses

Primary practice location

1515 Wazee St
Unit D
Denver, CO 80202-1478

Mailing address

720 S Colorado Blvd
Suite 220a
Glendale, CO 80246-1912
Phone (303) 534-9550

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 Medicine

State licenses

LicenseStateTypeSpecialty
23057COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Denver Ekg Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients
Healthone Clinic Services - Primary Care LLC Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1447249065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "SUITE 220A",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461912",
            "telephone_number": "303-534-9550",
            "fax_number": "720-932-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WAZEE ST",
            "address_2": "UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021478",
            "telephone_number": "303-534-9550",
            "fax_number": "720-932-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "23057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

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