Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Optumcare Colorado Medical Group LLC

Organization Pediatrics Physician · NPI 1407487788

Optumcare Colorado Medical Group LLC provides Pediatrics Physician services 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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