Individual provider Active NPI

Robert David Dawson Jr., PA-C

  • Physician Assistant
  • Pueblo, CO
National Provider Identifier
1558700575
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003695 Issued in CO
Practice address
4130 N Freeway Rd
Pueblo, CO 81008-2064
Phone
(716) 695-2273
NPI assigned
Jun 24, 2013
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003695 CO Primary

Addresses

Primary practice location

4130 N Freeway Rd
Pueblo, CO 81008-2064

Mailing address

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone (719) 471-2273

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926002715 CO Practitioner - Physician Assistant 3971877184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Urgent Care, Inc.Group PAC ID 2062684574, 2 clinicians

Practice addresses (Care Compare)

4130 N Fwy Rd
Pueblo, CO 81008-2064
Phone (719) 471-2273

5799 Stetson Hills Blvd
Colorado Springs, CO 80917-4223
Phone (719) 471-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Care Family Practice, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Front Range Urgent Care, Inc CurrentSince Jul 31, 2017 Accepting new patients
Front Range Urgent Care, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients
Front Range Urgent Care, Inc. Past Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients
Holzer Clinic, LLC Past Accepting new patients
Front Range Urgent Care, Inc. Past Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients

Locations

402 Garden of the Gods Rd
Colorado Springs, CO 80907
Phone (719) 471-2273

5799 Stetson Hills Blvd
Colorado Springs, CO 80917
Phone (719) 471-2273

5799 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273

6530 S Academy Blvd
Ste 105
Colorado Springs, CO 80906
Phone (719) 471-2273

6908 Mesa Ridge Pkwy
Fountain, CO 80817
Phone (719) 471-2273

4130 N Freeway Rd
Pueblo, CO 81008
Phone (719) 471-2273

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1558700575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 N FREEWAY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082064",
            "telephone_number": "716-695-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.