Individual provider Active NPI

James Wayne Terbush, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1821078858
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24102 Issued in CO
Practice address
1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444
Phone
(719) 578-3258
Fax
(719) 575-8664
NPI assigned
Jan 17, 2006
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24102 CO Primary

Addresses

Primary practice location

1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444

Mailing address

1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444
Phone (719) 578-3258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24102COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Public Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1821078858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD",
            "address_2": "SUITE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3258",
            "fax_number": "719-575-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD",
            "address_2": "SUITE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3258",
            "fax_number": "719-575-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERBUSH",
        "first_name": "JAMES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24102",
            "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 3, 2015; 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.