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
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1619850559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE MEDICAL GROUP COLORADO PLLC

Provider Business Mailing Address
First Line	:	999 17TH ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-2728
Country	:	US
Telephone Number	:	719-632-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 E WOODMEN RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8042
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	:	07/29/2025
Last Update Date	:	01/14/2026

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