Tracey L Fogle

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

1710 Briargate Blvd Ste 840
Colorado Springs, CO 80920-3456

Phone

(719) 649-6362

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tracey L Fogle

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1992350318

  Mastectomy Fitter

  NPD Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1508364845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BRIARGATE BLVD STE 840",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203456",
            "telephone_number": "719-649-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BRIARGATE BLVD STE 840",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203456",
            "telephone_number": "719-649-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "TRACEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Fodor, M.D.
• Daniel Paul Fogarty, MPT
• Taylor Marie Fogarty, DPT
• Todd M Fogarty, DDS
• Christina Fogel
• Clarence E. Fogleman III, M.D.
• Marymar Folbrecht
• Brittany Foldes
• C. Michelle Foley
• Ceile Foley

• Mastectomy Fitter in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mastectomy Fitter in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.