PERCIVAL NAM MD
NPI 1194516567
Student in an Organized Health Care Education/Training Program in Greeley, CO

Active since May 15, 2025
1600 23RD AVE, GREELEY, CO 80634(970) 810-2424 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, May 15, 2025 (2 updates tracked since 2025).

About Percival Nam Md NPPES

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

PERCIVAL NAM MD (NPI 1194516567) is an individual student in an organized health care education/training program in Greeley, Colorado, licensed in Colorado (TL.0011033) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1194516567
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePERCIVAL NAMCredential: MD
Location Address1600 23RD AVEGreeley, CO 80634-6070
Mailing Address1600 23rd AveGreeley, CO 80634-6070
Sole ProprietorYes
Enumeration DateMay 15, 2025
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1194516567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in CO · TL.0011033
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0011033 (CO)
1600 23RD AVE, Greeley, CO 80634

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1600 23RD AVE
GREELEY, CO 80634
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Family Medicine
1600 23RD AVE
GREELEY, CO 80634
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Family Medicine
1600 23RD AVE
GREELEY, CO 80634
Pediatrics (Pediatric Cardiology)
1600 23RD AVE
GREELEY, CO 80634
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634

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 Percival Nam's NPI number?

The NPI number for Percival Nam is 1194516567. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Percival Nam located?

Percival Nam practices at 1600 23rd Ave, Greeley, CO 80634. The listed phone number is (970) 810-2424.

What is Percival Nam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Percival Nam was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.