Active NPI
Robert Henderson Potts Jr., M.D,
- Emergency Medicine Physician
- Vail, CO
National Provider Identifier
1851402192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35662
- Practice address
- 181 W Meadow Dr
Vail, CO 81657-5242 - Phone
- (970) 479-7225
- Fax
- (970) 479-7216
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35662 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Vail, CO 81657-5242
Mailing address
27 Main St
Edwards, CO 81632-8109
Phone (970) 569-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01356625 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35662 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VVMC Diversified Services | Past | Accepting new patients | |
| Breckenridge Medical Clinic, LLC | Emergency Medicine | Past | Accepting new patients |
| Vail Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Breckenridge, CO
- NPI 1376682740
-
- Specialist
- Keystone, CO
- NPI 1386725406
-
- Specialist
- Edwards, CO
- NPI 1730279712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851402192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MAIN ST",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816328109",
"telephone_number": "970-569-3600",
"fax_number": "970-569-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-479-7225",
"fax_number": "970-479-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "ROBERT",
"middle_name": "HENDERSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "35662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01356625",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.