Colorado Complete Urgent Care Physicians LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

COLORADO COMPLETE URGENT CARE PHYSICIANS LLC

Doing business as

Colorado Complete Urgent Care Physicians Pueblo

Practice address

2035 S Pueblo Blvd
Pueblo, CO 81005-2577

Phone

(817) 527-3431

Fax

(817) 527-3445

NPI assigned

Nov 28, 2016

Last updated

Apr 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Braxton Neiman

Title

General Council

Phone

(871) 421-0031

Specialties & licenses 1

Addresses

Other names 1

• Colorado Complete Urgent Care Physicians Pueblo Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Colorado Complete Urgent Care Physicians LLC

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1801339585

  O20170313000845

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Braden Neiman, MD

  • Neurology Physician
  • Boerne, TX
  • NPI 1356302871
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1992248728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92472",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920136",
            "telephone_number": "817-421-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052577",
            "telephone_number": "817-527-3431",
            "fax_number": "817-527-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COMPLETE URGENT CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_title_or_position": "GENERAL COUNCIL",
        "authorized_official_telephone_number": "871-421-0031"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Complete Urgent Care Physicians Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Colorado Department of Corrections (San Carlos Correctional Facility)
• Colorado Department of Corrections
• Colorado Department of Corrections
• Colorado Department of Corrections
• Colorado Mental Health Institute Pueblo

• Urgent Care Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Urgent Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.