Wellspring Family Health Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CO42177 Issued in CO

Legal business name

WELLSPRING FAMILY HEALTH CARE

Practice address

1136 E Stuart St Ste 3240
Fort Collins, CO 80525-1196

Phone

(970) 224-0754

Fax

(970) 224-0757

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Flora Brewington, M.D.

Title

President

Phone

(970) 224-0754

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1740454909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-224-0754",
            "fax_number": "970-224-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 3240",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251196",
            "telephone_number": "970-224-0754",
            "fax_number": "970-224-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-224-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO42177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11920246",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Lynn Wells, OTR/L
• David T Wells, FNP
• Gordan W Wells, DDS
• Julia Wells, FNP-C
• Macie Wells
• Wellspring Human Services
• Wellspring Psychotherapy LLC
• Joan R Welsh, PHD
• Victoria Welsh, DDS
• Carolyn Welther Reynolds, PA-C

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.