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

Southern Colorado Vascular Surgery PC

Organization Specialist · NPI 1053463836

Southern Colorado Vascular Surgery PC provides Specialist services in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2960 N Circle Dr Ste 115
Colorado Springs, CO 80909-1163 Not confirmed with CMS for 16 years — call before visiting
Phone: (719) 630-3465
Fax: (719) 630-3476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 38531 (CO)

Record details

NPI number1053463836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Misare — Physician · (719) 630-3465
NPI enumeratedJanuary 18, 2007
Last updated in NPPESDecember 4, 2009
Mailing address2960 N Circle Dr Ste 115, Colorado Springs, CO 80909-1163

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