Active NPI
Rodger Druehl Bildstein, MD
- Internal Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1518088897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13610
- Practice address
- 3830 Edgecliff Court
Colorado Springs, CO 80904-1062 - Phone
- (719) 632-3140
- Fax
- (719) 632-3140
- NPI assigned
- Apr 3, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13610 | CO | Primary |
Addresses
Primary practice location
3830 Edgecliff Court
Colorado Springs, CO 80904-1062
Mailing address
3830 Edgecliff Court
Colorado Springs, CO 80904-1062
Phone (719) 632-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136100 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13610 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1518088897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 EDGECLIFF COURT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809041062",
"telephone_number": "719-632-3140",
"fax_number": "719-632-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 EDGECLIFF COURT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809041062",
"telephone_number": "719-632-3140",
"fax_number": "719-632-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILDSTEIN",
"first_name": "RODGER",
"middle_name": "DRUEHL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "13610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01136100",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.