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

Colin James Rose, MD

Individual provider General Practice Physician · NPI 1487398111

Colin James Rose, MD is a General Practice Physician in Jbsa Lackland, Texas. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 — (808) 433-2474

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 70127 (TN)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1487398111
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

Other providers in Jbsa Lackland