1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Clinic Center
  6. NPI Profile

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: October 18, 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
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified390708CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pueblo Family Medicine, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Gregory Berens, MD
Family Practice
NPI 1245295013
1600 N GRAND AVE SUITE 310
Pueblo, CO 81003
(719) 542-0072
✔ PECOSSame address
Nancy Chuch, MD
Family Practice
NPI 1154386365
1600 N GRAND AVE STE 310
Pueblo, CO 81003
(719) 542-0072
✔ PECOSSame address
Guy Kemling, MD
Family Practice
NPI 1154386795
1619 N GREENWOOD ST STE 208
Pueblo, CO 81003
(719) 561-4336
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Pueblo Family Medicine, PC enrolled in Medicare?

Yes. Pueblo Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Pueblo Family Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.