Colorado Springs Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLORADO SPRINGS INTERNAL MEDICINE PC

Practice address

175 S Union Blvd
Suite 350
Colorado Springs, CO 80910-3113

Phone

(719) 633-5515

Fax

(719) 471-2258

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Vicky L. Bonato

Title

Practice Manager

Phone

(719) 633-5515

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1932180304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "719-633-5515",
            "fax_number": "719-471-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S UNION BLVD",
            "address_2": "SUITE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103113",
            "telephone_number": "719-633-5515",
            "fax_number": "719-471-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "BONATO",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-633-5515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015269",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado Springs Imaging LLC
• Colorado Springs Independence Center
• Colorado Springs Independence Center
• Colorado Springs Independence Center
• Colorado Springs Internal Medicine
• Colorado Springs Interpreting Services, Inc
• Colorado Springs Interventional Pain Management PC
• Colorado Springs Massage LLC
• Colorado Springs Medical Investors, LLC
• Colorado Springs Medical Management, Inc.

• All providers in Colorado Springs, CO
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.