Dr. Eben Alexander IV, D.O.
Physical Medicine & Rehabilitation in Fort Collins, CO. Individual provider (NPI-1).
Details
- NPI
- 1164089058
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eben Alexander IV
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2019
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | DR.0073620 | CO | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 0102207354 | VA | |
| 208100000X | Physical Medicine & Rehabilitation | OS023243 | PA | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | DR.0073620 | CO |
Practice location
2500 E Prospect RdFort Collins, CO 80525-9718
Phone 970-493-0112 · Fax 970-493-1794
Mailing address
2500 E Prospect RdFort Collins, CO 80525-9718
Phone 970-493-0112 · Fax 970-493-1794
Other practice locations
Loveland, CO 80538-8809
Phone 970-663-3975 · Fax 970-493-1794
Greeley, CO 80634-8165
Phone 970-573-3224 · Fax 970-493-0521
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Physical Medicine & Rehabilitation Physician providers in Fort Collins · All 8,883 providers in Fort Collins
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