Gary Blane Childers, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30910 Issued in CO

Practice address

4711 Opus Dr
Suite 201
Colorado Springs, CO 80906-8694

Phone

(719) 579-0900

Fax

(719) 579-0911

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Urgent Care Solutions Glendale, P.C.

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment
• Urgent Care Solutions Glendale, PC

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1568904100
  NPD
• Ann T. Klein, MD, PC

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1932402898
  NPD (past)
• Michael V. Ladwig, M.D., P.C.

  • Occupational Medicine Clinic/Center
  • Denver, CO
  • NPI 1508802406
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1497716559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 OPUS DR",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068694",
            "telephone_number": "719-579-0900",
            "fax_number": "719-579-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 OPUS DR",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068694",
            "telephone_number": "719-579-0900",
            "fax_number": "719-579-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "GARY",
        "middle_name": "BLANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Development Center of Colorado Springs, Inc
• Child Development Center of Colorado Springs, Inc.
• Child Development Center of Colorado Springs, Inc.
• Child Development Center of Colorado Springs, Inc.
• Cheyenne Childers
• Children'S Hospital Colorado
• Children'S Hospital Colorado
• Children'S Hospital Colorado
• Children'S Hospital Colorado
• Children'S Hospital Colorado

• 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 May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.