Keith O Bodrero DO PC Dba Powers Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32687 Issued in CO

Legal business name

KEITH O BODRERO DO PC DBA POWERS MEDICAL

Practice address

6080 N Carefree Cir
Colorado Springs, CO 80922-2402

Phone

(719) 550-9100

Fax

(719) 380-0384

NPI assigned

Jan 24, 2007

Last updated

Jan 23, 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

Mrs. Dana Cherry

Title

Office Manager

Phone

(719) 550-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1477608891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 N CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222402",
            "telephone_number": "719-550-9100",
            "fax_number": "719-380-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 N CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222402",
            "telephone_number": "719-550-9100",
            "fax_number": "719-380-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH O BODRERO DO PC DBA POWERS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-550-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01326875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Kehl, DO
• Tyler Keidel
• Kelsey Keil-Fuchs, LMT
• Carissa Kelly Keirsey, MS, LPC
• Marisa Keiser, DPT
• Cassandra Keith
• Christopher Keith
• Deborah Keith
• Kimberly Keith
• Lana S Keith

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.