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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: August 16, 2026.

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

About Broadmoor Valley Pediatrics NPPES

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

BROADMOOR VALLEY PEDIATRICS (NPI 1407487788) is a healthcare organization registered as a pediatrics in Colorado Springs, Colorado and active in the NPI registry since January 2020. The organization lists David I Cohen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407487788
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address1230 TENDERFOOT HILL RD STE 255Colorado Springs, CO 80906-7393
Mailing Address2 S Cascade Ave Ste 140Colorado Springs, CO 80903-1604 · (719) 538-2900 · Fax (719) 538-2996
Phone(719) 576-5437
Fax(719) 576-5441
Organization SubpartYes
Authorized OfficialDavid I CohenMedical Director · (702) 480-2550
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1407487788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
1230 TENDERFOOT HILL RD STE 255, Colorado Springs, CO 80906
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Other Names 1

Doing Business AsBroadmoor Valley Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

RESTORE OSTEO OF COLORADO LLC
Internal Medicine
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
El Paso County (303) 216-2661
DR. KELLY ANN PRICE M.D.
Pediatrics
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 576-5437
HOLLY JACOBSEN
Nurse Practitioner
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 350-6830
MARGARET EILEEN REARDON APRN
Nurse Practitioner
1230 TENDERFOOT HILL RD STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 694-9446

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 Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1407487788. It was assigned to this organization in the NPPES registry on January 27, 2020. The provider is doing business as Broadmoor Valley Pediatrics.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 1230 Tenderfoot Hill Rd Ste 255, Colorado Springs, CO 80906. The listed phone number is (719) 576-5437.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.