Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centennial Surgical Associates, PLLC

Organization Surgery Physician · NPI 1275541666

Centennial Surgical Associates, PLLC is a Surgery Physician in Pueblo, Colorado. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 N Grand Ave Ste 510
Pueblo, CO 81003-2700
Phone: (719) 566-3535
Fax: (719) 566-3565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1275541666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Johnson — Owner · (719) 566-3535
NPI enumeratedAugust 3, 2006
Last updated in NPPESOctober 21, 2010
Mailing address1600 N Grand Ave, Ste 510, Pueblo, CO 81003-2700

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