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PUEBLO FAMILY MEDICINE, PC
NPI 1114149986
Clinic/Center - Primary Care in Pueblo, CO

Active since May 02, 2007
1600 N GRAND AVE STE 310, PUEBLO, CO 81003(719) 542-0072(719) 542-9888 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pueblo Family Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO FAMILY MEDICINE, PC (NPI 1114149986) is a healthcare organization registered as a primary care in Pueblo, Colorado and active in the NPI registry since May 2007. The organization lists Gregory W Berens, President, as its authorized official.

NPPES Registry Identity

NPI1114149986
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePUEBLO FAMILY MEDICINE, PC
Location Address1600 N GRAND AVE STE 310Pueblo, CO 81003-2729
Mailing Address1600 N Grand Ave Ste 310Pueblo, CO 81003-2729 · (719) 542-0072 · Fax (719) 542-9888
Phone(719) 542-0072
Fax(719) 542-9888
Organization SubpartNo
Authorized OfficialGregory W BerensPresident · (719) 542-0072
Enumeration DateMay 2, 2007
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1114149986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1600 N GRAND AVE STE 310, Pueblo, CO 81003
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Other Identifiers 1

Medicare ID-Type Unspecified390708CO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Gastroenterology)
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 595-7680
BRIDGET LYNN LEE NP
Nurse Practitioner (Family)
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 542-0072
MARC A WILLIAMS PA
Physician Assistant (Medical)
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 542-0072
MRS. ERIN DARBY YEATES AGPCNP-BC
Nurse Practitioner
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 595-7680
CATHERINE SMITH PA
Physician Assistant (Medical)
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 542-0072
LINDSEY MONICA DAIGREPONT NP
Nurse Practitioner (Gerontology)
1600 N GRAND AVE STE 310
PUEBLO, CO 81003
Pueblo County (719) 595-7680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Family Medicine, PC's NPI number?

The NPI number for Pueblo Family Medicine, PC is 1114149986. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Pueblo Family Medicine, PC located?

Pueblo Family Medicine, PC is located at 1600 N Grand Ave Ste 310, Pueblo, CO 81003. The listed phone number is (719) 542-0072.

What is Pueblo Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pueblo Family Medicine, PC was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.