PHYSICIAN'S CHOICE MEDICAL, LLC (NPI# 1275750036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275750036 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN'S CHOICE MEDICAL, LLC |
| Practice Address |
1710 W 29th St Pueblo CO 81008-1227 |
| Mailing Address |
7000 Broadway Ste 200 Denver CO 80221-2910 |
| Practice Telephone | 3034297300 |
| Practice Fax Number | 3034875365 |
| Mailing Telephone | 3034297300 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HERB L. BRACK (PARTNER) |
| Authorized Official Telephone | 3034297300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08003139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177148 | Physician's Choice Medical, LLC | Durable Medical Equipment & Medical Supplies | 402 N 3rd St, Sterling, CO 80751-3302 | 2005-10-10 |
| 1932324621 | Physician's Choice Medical, LLC | Durable Medical Equipment & Medical Supplies | 7000 Broadway, Suite 200, Denver, CO 80221-2910 | 2007-04-16 |
| Street Address |
1710 W 29TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559564 | Duramed Distributors | Durable Medical Equipment & Medical Supplies | 317 N Main St Ste 2ne, Pueblo, CO 81003-3236 | 2020-02-04 |
| 1396303715 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3300 Dillon Dr, Pueblo, CO 81008-1040 | 2019-05-31 |
| 1306201785 | Rocky Mountain Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2910 N Elizabeth St, Pueblo, CO 81008-1136 | 2015-12-29 |
| 1811052236 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 102 W 29th St, Pueblo, CO 81008 | 2006-12-26 |
| 1386702025 | Senior Resource Develpment Agency, Inc. | Durable Medical Equipment & Medical Supplies | 230 N Union Ave, Pueblo, CO 81003-4207 | 2006-12-05 |
| 1336213487 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1213 N Elizabeth St, Pueblo, CO 81003-2235 | 2006-11-20 |
| 1750455648 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 3676 Parker Blvd Ste 270, Pueblo, CO 81008-2213 | 2006-11-20 |
| 1104901305 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 731 W 8th St, Pueblo, CO 81003-2321 | 2006-10-26 |
| 1801977624 | A Personal Touch | Durable Medical Equipment & Medical Supplies | 1528 W Northern Ave, Pueblo, CO 81004-2816 | 2006-10-18 |
| 1023023389 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1520 W 4th St, Pueblo, CO 81004-1207 | 2006-07-29 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on PHYSICIAN'S CHOICE MEDICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.