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

David Immanuel Freeman Fountain, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457978611

David Immanuel Freeman Fountain, PA is a Physician Assistant in Durango, Colorado. Qualified in 2013, 13 years ago. Practices with Usacs of Colorado Inc, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Durango, CO

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2021-0009 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457978611
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 2, 2020
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Usacs Of Colorado Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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