Dr David Coburn M.D. PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

17871 Issued in CO

Legal business name

DR DAVID COBURN M.D. PC

Practice address

835 S 1St St
Montrose, CO 81401-3916

Phone

(970) 240-8822

Fax

(970) 240-8823

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By 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

David A Coburn, M.C P.C.

Title

M.D. P.C.

Phone

(970) 240-8822

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508952805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013916",
            "telephone_number": "970-240-8822",
            "fax_number": "970-240-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013916",
            "telephone_number": "970-240-8822",
            "fax_number": "970-240-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID COBURN M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D. P.C.",
        "authorized_official_telephone_number": "970-240-8822",
        "authorized_official_credential": "M.C  P.C."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020780",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Montrose, CO
• Providers in Montrose, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.