Active NPI
Doctors Surgery Center Inc
- Ambulatory Surgical Clinic/Center
- Pueblo, CO
National Provider Identifier
1750386231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 137
- Legal business name
- DOCTORS SURGERY CENTER INC
- Practice address
- 4100 Jerry Murphy Rd
Pueblo, CO 81001-1076 - Phone
- (719) 545-6013
- Fax
- (719) 545-2054
- NPI assigned
- Jun 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Wyche Bickel, M.D.
- Title
- Ceo
- Phone
- (719) 545-6013
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 137 | CO | Primary |
Addresses
Primary practice location
4100 Jerry Murphy Rd
Pueblo, CO 81001-1076
Mailing address
4100 Jerry Murphy Rd
Pueblo, CO 81001-1076
Phone (719) 545-6013
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00389 | Other | CO | BLU CROSS BLUE SHIELD |
| 04510384 | Medicaid | CO | |
| 490003790 | Other | CO | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4100 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 544-7070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Vancouver, WA
- NPI 1689679144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1750386231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 JERRY MURPHY RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011076",
"telephone_number": "719-545-6013",
"fax_number": "719-545-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JERRY MURPHY RD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011076",
"telephone_number": "719-545-6013",
"fax_number": "719-545-2054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "BICKEL",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "WYCHE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "719-545-6013",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLU CROSS BLUE SHIELD",
"identifier": "00389",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04510384",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "490003790",
"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 Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.