Individual provider Active NPI

Joseph John Wermers, M.D.

  • General Practice Physician
  • Pueblo, CO
National Provider Identifier
1669783296
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19512 Issued in CO
Practice address
1410 W 13TH St
Pueblo, CO 81003-1961
Phone
(719) 583-5550
Fax
(719) 583-5525
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19512 CO Primary

Addresses

Primary practice location

1410 W 13TH St
Pueblo, CO 81003-1961

Mailing address

1410 W 13TH St
Pueblo, CO 81003-1961
Phone (719) 583-5550

Other identifiers 1

IdentifierTypeStateIssuer
19512OtherCOCOLORADO DEPARTMENT OF CORRECTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19512COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Department of Corrections PastSince Jun 29, 2025 Accepting new patients
Colorado Department of Corrections Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1669783296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031961",
            "telephone_number": "719-583-5550",
            "fax_number": "719-583-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031961",
            "telephone_number": "719-583-5550",
            "fax_number": "719-583-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMERS",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "19512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF CORRECTIONS",
            "identifier": "19512",
            "state": "CO"
        }
    ],
    "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 Jun 29, 2010; 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.