Matt Bomar
Health & Wellness Coach in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1891476909
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1891476909
- Entity type
- Individual (NPI-1)
- Name
- Matt Bomar
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2023
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
2780 Gemini CtColorado Springs, CO 80907-8908
Phone 719-695-2824
Mailing address
2780 Gemini CtColorado Springs, CO 80907-8908
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 24 Health & Wellness Coach providers in Colorado Springs · All 25,904 providers in Colorado Springs
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