Active NPI
Nicolas M Colorado, M.D.
- Obstetrics & Gynecology Physician
- Brandon, FL
National Provider Identifier
1720076086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 58387
- Practice address
- 507 Oakfield Dr
Brandon, FL 33511-5700 - Phone
- (813) 661-6667
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 58387 | FL | Primary |
Addresses
Primary practice location
507 Oakfield Dr
Brandon, FL 33511-5700
Mailing address
507 Oakfield Dr
Brandon, FL 33511-5700
Phone (813) 661-6667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0534625000 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 58387 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Health and Youth, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Procedural Dermatology Physician
- Brandon, FL
- NPI 1134315237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720076086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115700",
"telephone_number": "813-661-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115700",
"telephone_number": "813-661-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLORADO",
"first_name": "NICOLAS",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 58387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534625000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Ivelisse Colon Martinez, RMHC-I
- Olga Marie Colon-Mercado, MD
- Antonio Colon
- Colorado Health and Youth, LLC
- Kathleen M Colorado, M.D.
- Keri Colston
- Maria Luisa Comas Vazquez
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.