Active NPI
Thurman 'Bud' Forest Hodge, D.O.
- Family Medicine Physician
- Woodland Park, CO
National Provider Identifier
1770506552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31265
- Practice address
- 300 W South Ave
Suite 9029
Woodland Park, CO 80866-7001 - Phone
- (719) 464-2049
- Fax
- (719) 687-3891
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31265 | CO | Primary |
Addresses
Primary practice location
300 W South Ave
Suite 9029
Woodland Park, CO 80866-7001
Mailing address
4860 Robb St
Suite 201
Wheat Ridge, CO 80033-2184
Phone (303) 278-7418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090122000354 | CO | Practitioner - Family Practice | 6002970886 | Practice locations: Canon City, CO; Pueblo, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31265 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1770506552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 ROBB ST",
"address_2": "SUITE 201",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332184",
"telephone_number": "303-278-7418",
"fax_number": "888-341-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W SOUTH AVE",
"address_2": "SUITE 9029",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808667001",
"telephone_number": "719-464-2049",
"fax_number": "719-687-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "THURMAN 'BUD'",
"middle_name": "FOREST",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "31265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.