NPIMap

Organization Active NPI

Colorado Complete Urgent Care Physicians LLC

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1801339585
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COLORADO COMPLETE URGENT CARE PHYSICIANS LLC
Practice address
8115 Voyager Pkwy
Colorado Springs, CO 80920-1562
Phone
(817) 527-3431
Fax
(817) 527-3445
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Mr. Braxton Neiman
Title
General Council
Phone
(871) 421-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8115 Voyager Pkwy
Colorado Springs, CO 80920-1562

Mailing address

910 S Kimball Ave
Southlake, TX 76092-9005
Phone (817) 421-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313000845 CO Part B Supplier - Clinic/Group Practice 4981988953 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Colorado Complete Urg Care Phy Co Spring3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1801339585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S KIMBALL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929005",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 VOYAGER PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201562",
            "telephone_number": "817-527-3431",
            "fax_number": "817-527-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COMPLETE URGENT CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_title_or_position": "GENERAL COUNCIL",
        "authorized_official_telephone_number": "871-421-0031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.