GREGORY W BERENS (NPI# 1245295013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245295013 |
| Entity Type | Individual |
| Full Name | GREGORY W BERENS |
| Credential | MD |
| Practice Address |
1600 N Grand Ave Suite 310 Pueblo CO 81003-2700 |
| Mailing Address |
1600 N Grand Ave Suite 310 Pueblo CO 81003-2729 |
| Practice Telephone | 7195420072 |
| Mailing Telephone | 7195420072 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2010-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30813 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1600 N GRAND AVE SUITE 310 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1710365416 | Paladina Health, LLC | Family Medicine | 1600 N Grand Ave, Suite 540, Pueblo, CO 81003-2700 | 2015-05-13 |
| 1407249188 | Christopher Traut | Neurological Surgery | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2015-03-05 |
| 1124423116 | Kati Jo Foechterle | Nurse Practitioner | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2014-11-03 |
| 1326469248 | Micah Johnson | Physician Assistant | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2013-12-19 |
| 1720364177 | Anesthesia Management Services, LLC | Nurse Anesthetist, Certified Registered | 1600 N Grand Ave, Suite 420, Pueblo, CO 81003-2700 | 2011-10-31 |
| 1326366105 | Rachel Christine Niemet | Obstetrics & Gynecology | 1600 N Grand Ave, Ste 400, Pueblo, CO 81003-2700 | 2010-05-04 |
| 1306081237 | Neil A Banga | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2008-12-05 |
| 1174770614 | Henrique Jose Fernandez | Internal Medicine | 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 | 2008-08-27 |
| 1831353705 | Marcel Jabour Junqueira | Internal Medicine | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992606 | Kristie Lamotta | Family Medicine | 1600 N Grand Ave Ste 350, Pueblo, CO 81003-2729 | 2019-09-26 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1134484660 | Aparna Seetharama | Family Medicine | 1600 N. Grand Ave, Ste 260, Pueblo, CO 81003-2729 | 2012-07-11 |
| 1710275037 | Catholic Health Initiatives Colorado | Family Medicine | 916 Indiana Ave., Suite 120, Pueblo, CO 81004 | 2011-07-20 |
| 1124336169 | Timothy J Cawlfield, Md, Pllc | Family Medicine | 41 Montebello Rd Ste 210, Pueblo, CO 81001-1379 | 2010-09-23 |
| 1639308828 | Emma Iovane Stout | Family Medicine | 115 E. Riverwalk, Suite 200, Pueblo, CO 81003-2246 | 2009-07-08 |
| 1750510145 | Wendy Alejandra Girard | Family Medicine | 1925 East Orman Avenue, Suite A109, Pueblo, CO 81004 | 2009-07-07 |
| 1881839694 | Bryan A Hynes | Family Medicine | 415 N Grand Ave, Pueblo, CO 81003-3111 | 2008-12-08 |
| 1093988917 | Louise Mcdade | Family Medicine | 8 Carlile Pl, Pueblo, CO 81004-1213 | 2008-04-11 |
| 1891914693 | Prairie Medical Clinic Pllc | Family Medicine | 1726 S Prairie Ave, Pueblo, CO 81005-2253 | 2007-04-24 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.