Integrated Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42461 Issued in CO

Legal business name

INTEGRATED FAMILY MEDICINE PLLC

Practice address

110 W Harvard St
Ste 2
Fort Collins, CO 80525-5217

Phone

(970) 282-1173

Fax

(970) 282-1175

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marian Bursten, M.D. P.H.D.NPI 1710942339

Title

Owner Physician

Phone

(970) 282-1173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian S Bursten, MD PHD

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1710942339
  NPD (past) Authorized official
• Benjamin Lewis Galyardt, D.C.

  • Chiropractor
  • Fort Collins, CO
  • NPI 1841387487
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821155268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HARVARD ST",
            "address_2": "STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255217",
            "telephone_number": "970-282-1173",
            "fax_number": "970-282-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HARVARD ST",
            "address_2": "STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255217",
            "telephone_number": "970-282-1173",
            "fax_number": "970-282-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURSTEN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "970-282-1173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D.  P.H.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1710942339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.