Bupdoc LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

32462 Issued in CO

Legal business name

BUPDOC LLC

Practice address

3220 N Academy Blvd Ste 3
Colorado Springs, CO 80917-5115

Phone

(719) 445-0383

Fax

(719) 375-0953

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Renee Nalley

Title

Office Manager

Phone

(719) 445-0383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Al-Abduljalil, MD

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1346458221
  NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1679059687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-445-0383",
            "fax_number": "719-375-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-445-0383",
            "fax_number": "719-375-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUPDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "NALLEY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-445-0383"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CO",
            "license": "32462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bunn
• Chris Steven Bunn
• Benjamin Allen Bunte, MA-CMHC, LPCC
• Lance Clay Bunting, DC
• Adrianne Bunyard-Krukoff, RBT
• Jean Ann Burbach, RXN,CNS
• Hunter Keith Burch
• Christine Burcham, LPC
• D'Nyse Charlarrious Burden
• James Harold Burden Jr., MD

• Addiction Medicine (Internal Medicine) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Addiction Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.