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MR. ALVIN MASSENBURG PA-C
NPI 1780991034
Physician Assistant - Medical in Wray, CO

Active since September 08, 2010
1017 W 7TH ST, WRAY, CO 80758(970) 332-4895(970) 332-4665 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017 (2 updates tracked since 2017).

About Mr. Alvin Massenburg Pa-c NPPES

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

MR. ALVIN MASSENBURG PA-C (NPI 1780991034) is an individual medical provider in Wray, Colorado, licensed in Colorado (PA.0003663) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1780991034
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ALVIN MASSENBURGCredential: PA-C
Location Address1017 W 7TH STWray, CO 80758-1420
Mailing Address1017 W 7th StWray, CO 80758-1420 · (970) 332-4895 · Fax (970) 332-4665
Phone(970) 332-4895
Fax(970) 332-4665
Sole ProprietorNo
Enumeration DateSeptember 8, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1780991034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CO · PA.0003663✔ Licensed in WA · 60180642
1017 W 7TH ST, Wray, CO 80758
Open in Google Maps ↗

Other Identifiers 1

Medicaid1780991034CO

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.

BONETTA SCHULTE FNP-C
Nurse Practitioner (Family)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
DAVID G. REED M.D.
Family Medicine
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
ROSALIE GIBB
Student in an Organized Health Care Education/Training Program
1017 W 7TH ST
WRAY, CO 80758
Yuma County (915) 408-4949
WRAY COMMUNITY DISTRICT HOSPITAL
General Acute Care Hospital (Critical Access)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
LORI LYNNE SMITH R.D.
Dietitian, Registered
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
BRIANA F LORENZINI OTR/L
Occupational Therapist
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4895
WRAY COMMUNITY DISTRICT HOSPITAL
Clinic/Center (Rural Health)
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-4811
DR. BETH A KAPADIA MD
Allergy & Immunology
1017 W 7TH ST
WRAY, CO 80758
Yuma County (970) 332-2225

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 Alvin Massenburg's NPI number?

The NPI number for Alvin Massenburg is 1780991034. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Alvin Massenburg located?

Alvin Massenburg practices at 1017 W 7th St, Wray, CO 80758. The listed phone number is (970) 332-4895.

What is Alvin Massenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Alvin Massenburg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.