NPIMap

Organization Active NPI

Southern Colorado Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pueblo, CO
National Provider Identifier
1659435535
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHERN COLORADO CLINIC
Practice address
3676 Parker Blvd
Pueblo, CO 81008-2212
Phone
(719) 553-2200
Fax
(719) 553-2216
NPI assigned
Dec 21, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN COLORADO CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Dr. Mark Stuart Potzler, MD
Title
President
Phone
(719) 553-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3676 Parker Blvd
Pueblo, CO 81008-2212

Mailing address

PO Box 9000
Pueblo, CO 81008-9000
Phone (719) 553-2200

Other practice location 1

127 Justice Center Rd Ste J
Canon City, CO 81212-9378
Phone (719) 553-2201 ext. 32201

Other practice location 2

1080 Chinook Ln
Pueblo, CO 81001-1850
Phone (719) 553-2201 ext. 32201

National Provider Directory

National Provider Directory
Tax ID family
Pueblo Physicians6 organizations share this tax ID, including this one
Part of
Pueblo Physicians

Other organizations with this tax ID 5

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

Locations

1080 Chinook Ln
Pueblo, CO 81001
Phone (719) 564-9400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21306/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1659435535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9000",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089000",
            "telephone_number": "719-553-2200",
            "fax_number": "719-553-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-553-2200",
            "fax_number": "719-553-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Justice Center Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129378",
            "country_code": "US",
            "telephone_number": "719-553-2201 x32201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Chinook Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011850",
            "country_code": "US",
            "telephone_number": "719-553-2201 x32201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN COLORADO CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN COLORADO CLINIC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "POTZLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-553-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.