IRON HORSE PEDIATRICS NPI 1477793578

NPI Information

  • NPI: 1477793578
  • Provider Name: IRON HORSE PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 06D0955016
  • Address: 402 N TEJON ST
    SUITE 200
    COLORADO SPRINGS, CO
    ZIP 80903
  • Phone: (719) 633-3850

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NPI Details

IRON HORSE PEDIATRICS is a pediatrics in Colorado Springs, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. IRON HORSE PEDIATRICS NPI is 1477793578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

402 N TEJON ST
SUITE 200
COLORADO SPRINGS, CO
ZIP 80903-142
Phone: (719) 633-3850
Fax: (719) 227-0840

The provider's authorized official is Kerri M Bagnall .
The authorized official title is President/pediatrician and has the following contact phone number (719) 633-3850.

The CLIA number assigned to this NPI record is 06D0955016 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111820314MEDICAIDCOLORADO
201237718MEDICAIDCOLORADO
301306075MEDICAIDCOLORADO
435972068MEDICAIDCOLORADO
525386026MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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