Active NPI
Jean Michael Bouquet, DO
- Family Medicine Physician
- Parker, CO
National Provider Identifier
1922184191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CO35599
- Practice address
- 12919 Stroh Ranch CT
Unit G
Parker, CO 80134-7707 - Phone
- (303) 841-9219
- Fax
- (303) 841-9240
- NPI assigned
- Oct 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CO35599 | CO | Primary |
Addresses
Primary practice location
12919 Stroh Ranch CT
Unit G
Parker, CO 80134-7707
Mailing address
12919 Stroh Ranch CT
Unit G
Parker, CO 80134-7707
Phone (303) 841-9219
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO35599 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouquet Family Medicine | Family Medicine | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Parker, CO
- NPI 1265608301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1922184191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12919 STROH RANCH CT",
"address_2": "UNIT G",
"city": "PARKER",
"state": "CO",
"postal_code": "801347707",
"telephone_number": "303-841-9219",
"fax_number": "303-841-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12919 STROH RANCH CT",
"address_2": "UNIT G",
"city": "PARKER",
"state": "CO",
"postal_code": "801347707",
"telephone_number": "303-841-9219",
"fax_number": "303-841-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUQUET",
"first_name": "JEAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "CO35599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.