NPI 1144392564 · Physician · Anthem
Evidence across dimensions is contradictory — supporting and opposing signals are present.
NPPES
BUCKLEY AFB, 80011
Freshness: Unknown
Network Status
Listed with 1 carrier
DORA License
Active
Medicare
Non-Medicare specialty
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Weak network corroboration
1 network across 1 carrier
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.