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

Optumcare Colorado Medical Group LLC

Organization Pediatrics Physician · NPI 1407487788

Optumcare Colorado Medical Group LLC is a Pediatrics Physician in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1230 Tenderfoot Hill Rd Ste 255
Colorado Springs, CO 80906-7393
Phone: (719) 576-5437
Fax: (719) 576-5441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1407487788
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOptumcare Colorado Medical Group LLC
Authorized official David Cohen — Medical Director · (702) 480-2550
Other names Broadmoor Valley Pediatrics; Broadmoor Valley Pediatrics
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address2 S Cascade Ave Ste 140, Colorado Springs, CO 80903-1604

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