David Richard Colvard, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12518 Issued in AL

Practice address

421 W College St
Infant & Childrens Clinic PC
Florence, AL 35630-5520

Phone

(256) 764-0670

Fax

(256) 764-1139

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• bcbs alabama network 01G0
• bcbs alabama network 01A0
• bcbs alabama network 01E0
• bcbs alabama network 01C0
• bcbs alabama network 01B0

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.

• Infants and Childrens Clinic PC

  • Pediatrics Physician
  • Florence, AL
  • NPI 1689685315
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1790793719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W COLLEGE ST",
            "address_2": "INFANT & CHILDRENS CLINIC PC",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305520",
            "telephone_number": "256-764-0670",
            "fax_number": "256-764-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W COLLEGE ST",
            "address_2": "INFANT & CHILDRENS CLINIC PC",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305520",
            "telephone_number": "256-764-0670",
            "fax_number": "256-764-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVARD",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "12518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "51016053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000016053",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Coleman, P.A.-C
• James E Coleman, LCSW
• William A Collignon Jr., M.D.
• Neil Collins
• Jennifer L Collum
• Complete Vitality
• Erica Conley, CRNP
• William Trapp Conner, PHARMD
• Paul David Connolly, RPH
• Timothy Joseph Connolly

• Pediatrics Physician in Florence, AL
• Providers in Florence, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.