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

Michael Mandrell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134547557

Michael Mandrell, MD is an Emergency Medicine in Pueblo, Colorado. Graduated from Creighton University School of Medicine in 2014, 12 years ago. Practices with Southern Colorado Emergency Medical Associates, a 26-clinician group and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
12
Trained at
Creighton University School of Medicine
Licensed in
CO, NM
In the registry since
2014
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

400 W 16th St
Pueblo, CO 81003-2745
Phone: (719) 584-4306
Fax: (719) 584-4861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DR.0058185 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 'RS2014-0418 (NM)

Record details

NPI number1134547557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESJune 30, 2017
Mailing address400 W 16th St, Pueblo, CO 81003-2745

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Southern Colorado Emergency Medical Associates — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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