DR. JOHN L. BENGFORT (NPI# 1689713398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689713398 |
| Entity Type | Individual |
| Full Name | DR. JOHN L. BENGFORT |
| Credential | M.D. |
| Practice Address |
175 S Union Blvd Ste 300 Colorado Springs CO 80910-3126 |
| Mailing Address |
1215 Northfield Rd Colorado Springs CO 80919-3239 |
| Practice Telephone | 7193656363 |
| Practice Fax Number | 7193655801 |
| Mailing Telephone | 7195987741 |
| Mailing Fax Number | 7195981972 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
21658 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 52489329 | 05 |
| Street Address |
175 S UNION BLVD STE 300 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054101 | Dennis A Phelps | Orthopaedic Surgery | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2005-12-16 |
| 1457970238 | Poudre Valley Medical Group, LLC | Internal Medicine | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2020-04-13 |
| 1174152417 | Poudre Valley Medical Group, LLC | Allergy & Immunology | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2020-04-08 |
| 1972966992 | Jeannette Renee Liller | Registered Nurse | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2016-03-29 |
| 1356787436 | Cameron Hurst Siddens | Internal Medicine | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2013-05-16 |
| 1073856001 | Meghan Teresa Rush | Internal Medicine | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2013-03-28 |
| 1003010919 | Peter Daniel Fredericks | Orthopaedic Surgery | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2007-06-13 |
| 1609927854 | Valerie J Shereck | Nurse Practitioner | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2007-01-15 |
| 1619942604 | Janet Sue Anderson | Nurse Practitioner | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2006-02-22 |
| 1396715876 | Mindy Siegel | Orthopaedic Surgery | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1003074568 | William Julius Klein Jr. | Internal Medicine | 855 Gold Camp Rd, Colorado Springs, CO 80906-5869 | 2008-05-30 |
| 1386244036 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2508 Airport Rd, Colorado Springs, CO 80910-3120 | 2020-10-30 |
| 1114527967 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-10-30 |
| 1396345047 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-10-30 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1982204210 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2802 International Cir, Colorado Springs, CO 80910-3127 | 2020-10-27 |
| 1992305262 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2020-10-27 |
| 1538769872 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2180 Hollow Brook Dr, Colorado Springs, CO 80918-1444 | 2020-10-27 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
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| 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.