MEDICARE: COBC BRANDS DIRECT PRIMARY CARE

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	261QU0200X	Urgent Care Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1861377541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COBC BRANDS DIRECT PRIMARY CARE

Provider Business Mailing Address
First Line	:	1497 SOLITAIRE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-4255
Country	:	US
Telephone Number	:	440-371-3063
Fax Number	:

Provider Business Practice Location Address
First Line	:	1497 SOLITAIRE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-4255
Country	:	US
Telephone Number	:	440-371-3063
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	LOGAN CRIST
Credential	:	PA-C
Telephone Number	:	440-371-3063

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

Similar Medicare Providers

1720528805 — LOGAN CRIST
Practice Location Address:

1497 SOLITAIRE ST
COLORADO SPRINGS, CO
80905-4255

Practice Phone: 440-371-3063
Practice Fax:

1275202061 — LOGAN CRIST PA & COMPANY
Practice Location Address:

1497 SOLITAIRE ST
COLORADO SPGS, CO
80905-4255

Practice Phone: 440-371-3063
Practice Fax:

1538346630 — DR. BENJAMIN ROBERT SABO D.C.
Practice Location Address:

4755 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-4255

Practice Phone: 719-570-0303
Practice Fax:

1972757318 — SABO CHIROPRACTIC LLC
Practice Location Address:

4755 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-4255

Practice Phone: 719-570-0303
Practice Fax:

1033413216 — JENNIFER DOHERTY RMT, MBA
Practice Location Address:

4755 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-4255

Practice Phone: 719-271-9663
Practice Fax:

1023350600 — ZEXIN LI CCC-SLP
Practice Location Address:

4255 GALLEY RD , SUITE 106
COLORADO SPRINGS, CO
80909-5479

Practice Phone: 719-425-7771
Practice Fax: 303-223-0084

Directions to “COBC BRANDS DIRECT PRIMARY CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.