Robert Charles Homburg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26863 Issued in CO

Practice address

1100 Poudre River Dr
Fort Collins, CO 80524-3500

Phone

(970) 224-9508

Fax

(970) 224-1210

NPI assigned

Jul 21, 2006

Last updated

Oct 8, 2007By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Clinic Inc.

  dba Physicians Management Corporation

  • Clinical Medical Laboratory
  • Fort Collins, CO
  • NPI 1013934892
  NPD (past)
• Poudre Valley Health Care Inc

  dba Poudre Valley Health System

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857
  NPD (past)
• Value in Prevention of Colorado PLLC

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1356863245
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1811918451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HEARTHSTONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289170",
            "telephone_number": "970-223-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POUDRE RIVER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243500",
            "telephone_number": "970-224-9508",
            "fax_number": "970-224-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMBURG",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "26863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "10053384",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01268630",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flo Ann Holt, LPC
• Stephen D Holt, M.D.
• Michael Glen Holthouser, MD MPH
• Randall Lee Holyfield Jr., HAD
• Mary Sewell Homan
• Victoria L. Homeier, R.N.
• Homeward Alliance
• Homeward Alliance
• Matthew Jamil Homsi, DO
• Joyce C Honea, N.P.

• Internal Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.