Organization Active NPI

Four Corners Center for Neurology Specialty

  • Neurology Physician
  • Durango, CO
National Provider Identifier
1558150250
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FOUR CORNERS CENTER FOR NEUROLOGY SPECIALTY
Practice address
555 Rivergate LN Ste B1-102
Durango, CO 81301-7470
Phone
(970) 844-2865
Fax
(970) 837-3111
NPI assigned
May 1, 2025
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
David D Rushworth, MD, PHDNPI 1548655459
Title
President
Phone
(832) 954-4154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

555 Rivergate LN Ste B1-102
Durango, CO 81301-7470

Mailing address

555 Rivergate LN Ste B1-102
Durango, CO 81301-7470
Phone (970) 844-2865

National Provider Directory

National Provider Directory

Locations

555 Rivergate Ln
Ste B1-102
Durango, CO 81301
Phone (970) 259-1971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1558150250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE LN STE B1-102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017470",
            "telephone_number": "970-844-2865",
            "fax_number": "970-837-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE LN STE B1-102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017470",
            "telephone_number": "970-844-2865",
            "fax_number": "970-837-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS CENTER FOR NEUROLOGY SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "RUSHWORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-954-4154",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.