Provider Demographics
NPI:1851337802
Name:SPRIGGS, KURT D (DO)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:D
Last Name:SPRIGGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 PATTERSON RD
Mailing Address - Street 2:STE 605
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506
Mailing Address - Country:US
Mailing Address - Phone:970-244-2482
Mailing Address - Fax:970-255-1701
Practice Address - Street 1:743 HORIZON COURT
Practice Address - Street 2:STE 105
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506
Practice Address - Country:US
Practice Address - Phone:970-244-2482
Practice Address - Fax:970-255-1701
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34540207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01345404Medicaid
COCE2754Medicare PIN
E85739Medicare UPIN
C316218Medicare ID - Type Unspecified