Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487398111 Individual Practitioner Male Practitioner

Dr. Colin James Rose , MD

General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Colin Rose, MD is a registered healthcare professional specializing in General Practice in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Telephone 2102925350

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Jbsa Lackland, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-11
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN 70127

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Practice Locations

1 Jarrett White Rd

Tripler Army Medical Center, HI 968595001

Phone: 8084332474

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1003317744

Doctor of Osteopathic Medicine (D.O.)

NPI 1033794102

Doctor of Osteopathic Medicine (D.O.)

NPI 1154760353

Doctor of Osteopathic Medicine (D.O.)

NPI 1205371069

Doctor of Medicine (M.D.)

Dr. Rachel Wynn , MD

General Practice

NPI 1235716846

Doctor of Medicine (M.D.)

Jordan Bury

General Practice

NPI 1275112674

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2024

General Practice (License #70127 in TN)

📍
Updated Practice Location August 16, 2023

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2023

Military Health Care Provider

📍
Updated Business Mailing Address February 27, 2023

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

NPI Profile Active April 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2022

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001 (Tel: 8084332474)

📍
Updated Business Mailing Address April 27, 2022

Registered at 1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 968595001

👤
Provider Name / Credentials Updated April 27, 2022

Recorded as COLIN ROSE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487398111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2022
Last Update: June 11, 2025
Sole Proprietor: No

Mailing Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 782365638

Phone: 2102925350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.