BROADMOOR VALLEY PEDIATRICS
NPI 1407487788
Pediatrics in Colorado Springs, CO

Active since January 27, 2020
1230 TENDERFOOT HILL RD STE 255, COLORADO SPRINGS, CO 80906(719) 576-5437(719) 576-5441 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Jan 27, 2020 (2 updates tracked since 2020).

  • Organization
  • Pediatrics

About BROADMOOR VALLEY PEDIATRICS

This page provides the complete NPI Profile along with additional information for Broadmoor Valley Pediatrics, a pediatrician established in Colorado Springs, Colorado operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1407487788 assigned on January 2020. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Broadmoor Valley Pediatrics. The authorized official of this NPI record is David I Cohen (Medical Director)

NPI
1407487788 Verify this NPI
Provider Legal Name
OPTUMCARE COLORADO MEDICAL GROUP LLC
Other Organization Name
BROADMOOR VALLEY PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1230 TENDERFOOT HILL RD STE 255 COLORADO SPRINGS, CO 80906
Location Phone
(719) 576-5437
Location Fax
(719) 576-5441
Mailing Address
2 S CASCADE AVE STE 140 COLORADO SPRINGS, CO 80903
Mailing Phone
(719) 538-2900
Mailing Fax
(719) 538-2996
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-27-2020
Last Update Date
03-07-2024
Code Navigator

A pediatrician like Broadmoor Valley Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID I COHEN

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(702) 480-2550

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
Nurse Practitioner
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
Internal Medicine
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
Pediatrics
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407487788, enumerated as an "organization" on January 27, 2020.

The provider is located at 1230 TENDERFOOT HILL RD STE 255 COLORADO SPRINGS, CO 80906 and the phone number is (719) 576-5437.

Pediatrics with taxonomy code 208000000X.