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DR. SUSAN GABRIELLE DERN DO
NPI 1558482125
Family Medicine in Colorado Springs, CO

Active since April 02, 2007
2502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909(719) 365-6840 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Gabrielle Dern Do NPPES

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

DR. SUSAN GABRIELLE DERN DO (NPI 1558482125) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (29573) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1558482125
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN GABRIELLE DERNCredential: DO
Location Address2502 E PIKES PEAK AVEColorado Springs, CO 80909-6033
Mailing Address2695 Rocky Mountain Ave, Ste 150Loveland, CO 80538-9071 · (970) 624-4036 · Fax (970) 490-4378
Phone(719) 365-6840
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 28, 2016
✔ NPI 1558482125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 29573
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2502 E PIKES PEAK AVE, Colorado Springs, CO 80909
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Other Identifiers 3

Medicare PINC9534CO
Medicare ID-Type UnspecifiedE85537CO
Medicaid01295732CO

Other Providers at the Same Location NPPES 13

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

DR. RAYMOND L. WAHL M.D.
Internal Medicine
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 630-6440
MR. AARON S LAWRENCE N.P.
Nurse Practitioner (Community Health)
2502 E PIKES PEAK AVE, 3RD FLOOR
COLORADO SPRINGS, CO 80909
El Paso County (719) 632-5700
STACY A SCHROEDER PTA
Physical Therapy Assistant
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (731) 267-6066
JESSICA MAY FNP-BC
Nurse Practitioner
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 314-2327
THE RESOURCE EXCHANGE, INC
Psychologist (Intellectual and Developmental Disabilities)
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 380-1100
EMILY ANN EICKSTAEDT AGNP
Nurse Practitioner (Gerontology)
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 314-2327
NICOLA SUE ADAMS FNP
Nurse Practitioner (Family)
2502 E PIKES PEAK AVE, 4TH FLOOR
COLORADO SPRINGS, CO 80909
El Paso County (719) 632-5700
MRS. LAURA LICHTI LPC
Counselor (Professional)
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 380-1100

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 Susan Dern's NPI number?

The NPI number for Susan Dern is 1558482125. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Susan Dern located?

Susan Dern practices at 2502 E Pikes Peak Ave, Colorado Springs, CO 80909. The listed phone number is (719) 365-6840.

What is Susan Dern's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Dern was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.