Cobb Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COBB MEDICAL PLLC

Practice address

1779 S 8TH St Ste a
Colorado Springs, CO 80905-1985

Phone

(719) 301-7450

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Edward Allen Cobb, MD

Title

President

Phone

(415) 515-3097

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1699432492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WATCH HILL DR APT B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067946",
            "telephone_number": "415-515-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 S 8TH ST STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051985",
            "telephone_number": "719-301-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-515-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.physicianmoderntherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1779 S 8th St Ste A",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809051985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Lynn Coakley, D.O.
• Kenneth N Coates, DPM
• Kira Coates
• Ryan Coates, M.D.
• Meredith Coats, OTR/L
• Cobc Brands Direct Primary Care (Colorado Springs Health Collective - Direct Primary Care)
• Richard Cobey, ATC
• Elizabeth Cobos-Tarin, PT
• Summer Brooke Coburn-Scheid, PA
• Breena Coburn

• Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.