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

Colorado Springs Nephrology

Organization Nephrology Physician · NPI 1376879254

Colorado Springs Nephrology is a Nephrology Physician in Colorado Springs, Colorado. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1725 E Boulder St Ste 105
Colorado Springs, CO 80909-5768
Phone: (866) 691-6243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1376879254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Provenzano — President · (719) 237-6302
NPI enumeratedOctober 27, 2009
Last updated in NPPESAugust 26, 2013
Mailing address45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315-6033

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