Britt a Buckley MD PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25358 Issued in CO

Legal business name

BRITT A BUCKLEY MD PC

Practice address

3155 N Union Blvd
Colorado Springs, CO 80907-8703

Phone

(727) 755-0693

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Nicole Gallivan

Title

Credentialing Lead

Phone

(727) 755-0693

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peak Vision Center Doing business as

Tax ID family

Britt a Buckley MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Britt a Buckley MD PC

  • Corneal and Contact Management Optometrist
  • Colorado Springs, CO
  • NPI 1417162355
  NPD tax ID

Locations

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1619326907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "SUITE 500",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-755-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "727-755-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITT A BUCKLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "GALLIVAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "727-755-0693"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CO",
            "license": "25358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45880581",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britny Massey DDS,PC
• Christine Therese Brito, M.A., CCC-SLP
• Clarice Brito, PMHNP-BC
• Marna Brits, PHARMD
• Britt a Buckley MD PC
• Candace Dawn Britten, PT, DPT, NHA
• Morgan Britton
• Nina Regina Britton, R.N.
• Susanna Britton, OTR
• Stephen Lloyd Brlansky, OT

• Non-Pharmacy Dispensing Site in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Non-Pharmacy Dispensing Site in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.