MEDICARE: ALPINE MEDICAL GROUP COLORADO PLLC

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
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1467325480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE MEDICAL GROUP COLORADO PLLC

Provider Business Mailing Address
First Line	:	4190 E WOODMEN RD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8075
Country	:	US
Telephone Number	:	719-632-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 E WOODMEN RD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8075
Country	:	US
Telephone Number	:	719-632-4455
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	TRACEY J BAUGHEY
Credential	:
Telephone Number	:	267-981-6519

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	01/14/2026

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