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

Vincent Vaughn, DO

Individual provider Internal Medicine Physician · NPI 1134660400

Vincent Vaughn, DO is a Hospitalist in Pueblo, Colorado. Qualified in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

311 W 14th St
Pueblo, CO 81003-2705
Phone: (719) 595-7585
Fax: (719) 595-7982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DR.0062724 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence TL.0006401 (CO)

Record details

NPI number1134660400
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020
Mailing address311 W 14th St, Pueblo, CO 81003-2705

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pueblo