Healthcare Provider Details

I. General information

NPI: 1184638850
Provider Name (Legal Business Name): BERNARD CLAYTON DUHON RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR
FORT CARSON CO
80913-4603
US

IV. Provider business mailing address

1650 COCHRANE CIR
FORT CARSON CO
80913-4603
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7649
  • Fax: 719-526-7019
Mailing address:
  • Phone: 719-526-7646
  • Fax: 719-526-7019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number112457
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number112457
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: