BUPDOC LLC (NPI# 1679059687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679059687 |
| Entity Type | Organization |
| Organization Name | BUPDOC LLC |
| Practice Address |
3220 N Academy Blvd Ste 3 Colorado Springs CO 80917-5115 |
| Practice Telephone | 7194450383 |
| Practice Fax Number | 7193750953 |
| Mailing Telephone | 7194450383 |
| Mailing Fax Number | 7193750953 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | CONNIE RENEE NALLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 7194450383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
32462 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
3220 N ACADEMY BLVD STE 3 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604805 | Michael L. Grabill | Counselor | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2005-10-24 |
| 1548728124 | Emili Combest | Counselor | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2019-03-04 |
| 1104384767 | Brianne Michele Fahrmeier | Counselor | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2019-03-03 |
| 1912429796 | Martha Anne Biastoch | Counselor | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2017-07-12 |
| 1528342706 | Deborah Patz | Psychologist | 3220 N Academy Blvd Ste 3, Colorado Springs, CO 80917-5115 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376024968 | Urban Peaks Rehab, LLC | Internal Medicine | 1490 N Lafayette St, Denver, CO 80218-2339 | 2018-08-22 |
| 1184863631 | Pradeep Rai | Internal Medicine | 1850 Race St, Denver, CO 80206 | 2009-02-06 |
| 1770798449 | William Bryson Swafford | Internal Medicine | 1827 Gaylord St, Denver, CO 80206-1210 | 2007-05-14 |
| 1831211069 | Franck Armand Belibi | Internal Medicine | 3191 S Vaughn Way, Suite 101, Aurora, CO 80014-3538 | 2007-04-06 |
| 1790190288 | Rocky Mountain Treatment Svcs Prof | Internal Medicine | 2928 W 10th St, Suite 102, Greeley, CO 80634-5426 | 2014-06-24 |
| 1639412414 | Reem M Hanna | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-03-31 |
| 1891822854 | Allan W Graham | Internal Medicine | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-27 |
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on BUPDOC 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.