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NPI Code Detail

MEDICARE: OBHG COLORADO, P.C.

MEDICARE: OBHG COLORADO, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician
2207P00000XEmergency Medicine Physician
3207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1104116896
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBHG COLORADO, P.C.
Provider Business Mailing Address
First Line : 777 LOWNDES HILL RD BLDG 1
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2101
Country : US
Telephone Number : 800-967-2289
Fax Number : 864-627-9920
Provider Business Practice Location Address
First Line : 4050 BRIARGATE PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7815
Country : US
Telephone Number : 800-967-2289
Fax Number : 864-627-9920
Authorized Official
Title or Position : DIRECTOR
Name : DENISE BURNS
Credential :
Telephone Number : 864-908-3604
Provider Enumeration Date : 04/14/2011
Last Update Date : 03/09/2026

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