Individual provider Active NPI

David A Coburn, MD

  • Specialist
  • Delta, CO
National Provider Identifier
1487674875
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17871 Issued in CO
Practice address
1501 E 3Rd St
Delta, CO 81416-2815
Phone
(970) 874-2417
Fax
(970) 874-6491
NPI assigned
Jul 20, 2006
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17871 CO Primary

Addresses

Primary practice location

1501 E 3Rd St
Delta, CO 81416-2815

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000459 CO Practitioner - Pulmonary Disease 5294768842 Reassigns benefits to 1 organization
I20090312000445 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5294768842 Reassigns benefits to 2 organizations
Practice locations: Monroe, LA

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 E 3Rd St
Delta, CO 81416-2815

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17871COMDSpecialist
MD00048643WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Nov 17, 2023 Accepting new patients
Delta County Memorial Hospital Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Valley View Hospital Association Internal Medicine Current Accepting new patients
Physician Group of Louisiana Inc CurrentSince Nov 17, 2023 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Delta County Memorial Hospital Internal Medicine Current Accepting new patients
Valley View Hospital Association CurrentSince May 7, 2018 Accepting new patients
Delta County Memorial Hospital CurrentSince Dec 1, 2007 Accepting new patients
Hsa Louisiana Physician Group Inc Specialist CurrentSince Aug 23, 2025 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince May 7, 2018 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020

230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

503 McMillan Rd
Fl 3
West Monroe, LA 71291
Phone (318) 329-4300

Organizations & group practices 12

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1487674875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "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": "970-874-2417",
            "fax_number": "970-874-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.