Colorado Springs Radiologists PC
Organization Active NPI Diagnostic Radiology Physician · Fountain, CO
NPI 1609486299 · NPPES record last updated Aug 7, 2020
Key facts
- NPI
- 1609486299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- COLORADO SPRINGS RADIOLOGISTS PC
- Practice address
- 7955 Fountain Mesa Rd
Fountain, CO 80817-1535 - Phone
- (719) 593-1799
- Fax
- (719) 265-3794
- NPI assigned
- Aug 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Derek Scott Bergeson, MD
- Title
- Radiologist
- Phone
- (719) 593-1799
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Colorado Sprgs Radiolog
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
7955 Fountain Mesa Rd
Fountain, CO 80817-1535
Mailing address
PO Box 2989
Colorado Springs, CO 80901-2989
Phone (719) 593-1799
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.