Phillip M. Colbert, MD,, a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C35295 Issued in CA

Legal business name

PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION

Practice address

77 Casa St Ste 108
San Luis Obispo, CA 93405-5804

Phone

(805) 541-6080

Fax

(805) 541-0637

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip M Colbert, MD

Title

Physician

Phone

(805) 541-6080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1790822252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CASA ST",
            "address_2": "SUITE 108",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055803",
            "telephone_number": "805-541-6080",
            "fax_number": "805-541-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST STE 108",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055804",
            "telephone_number": "805-541-6080",
            "fax_number": "805-541-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-541-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C35295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Phillips, NP
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• Tina Danielle Phipps
• John R Phirman, M.D.

• Gastroenterology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.