Individual
PASTOR COLON
Active
Individual
PASTOR COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22830
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02985CO
BCBS
—
01
—
034966
BC VA
—
01
—
0820001
PRE 1
—
01
—
109040
U CARE
—
01
—
1520186
MEDCA
—
01
—
1521086
UHIC
—
01
—
30228600
WMA
—
01
—
HP13076
HP
—
Enumeration date
10/21/2005
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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