Active NPI
Timothy L. Brininger, M.D.
- Family Medicine Physician
- Imperial, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2019-0990
- Practice address
- 600 W 12TH St
Imperial, NE 69033-3131 - Phone
- (308) 882-7111
- NPI assigned
- Jan 17, 2006
- Last updated
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M 7253 | ID | |
| Family Medicine Physician | 207Q00000X | DR.0059746 | CO | |
| Family Medicine Physician | 207Q00000X | MD2019-0990 | NM | Primary |
Addresses
Primary practice location
600 W 12TH St
Imperial, NE 69033-3131
Mailing address
PO Box 819
Imperial, NE 69033-0819
Phone (308) 882-7111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804213200 | Medicaid | ID | |
| 1124008164 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chase County Community HospitalSt. Vincent General Hospital District
Practice addresses (Care Compare)
600 W 12TH St
Imperial, NE 69033-3131
Phone (308) 882-7111
816 W 4TH St
Leadville, CO 80461-3861
Phone (719) 221-0660
822 W 4TH St
Leadville, CO 80461-3861
Phone (719) 221-0660
Hospital & facility affiliations
- Chase County Community Hospital
- St Vincent General Hospital District
- Chase County Community Hospital
- Imperial Manor Nursing Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M 7253 | ID | MD | Family Medicine Physician |
| MD2019-0990 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase County Community Hospital | Family Medicine | Current | Accepting new patients |
| Miners Colfax Medical Center | Current | Accepting new patients | |
| Obhg Colorado, P.C. | Current | Accepting new patients | |
| Miners Colfax Medical Center | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| Chase County Community Hospital | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Chase County Community Hospital | Past | Accepting new patients | |
| Idaho Emergency Physicians, P.a. | Past | Accepting new patients | |
| Elmore Medical Center Hospital District | Family Medicine | Past | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635
4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121
816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660
600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111
203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
- https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/
- timothy.brininger.1@16856.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Chase County Community Hospital | Hospital | W-2 Managing Employee Operational/Managerial Control |
Jul 1, 2025 Jul 1, 2025 |
| Chase County Community Hospital | Hospital | W-2 Managing Employee Operational/Managerial Control |
Jul 1, 2025 Jul 1, 2025 |
| Chase County Clinic | Rural health clinic | W-2 Managing Employee Operational/Managerial Control |
Jul 1, 2025 Jul 1, 2025 |
| Chase County Clinic | Rural health clinic | W-2 Managing Employee Operational/Managerial Control |
Jul 1, 2025 Jul 1, 2025 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Chase County Clinic
- Rural Health Clinic/Center
- Imperial, NE
- NPI 1124186846
Operational/Managerial Control, W-2 Managing Employee
-
dba Chase County Clinic
- Rural Health Clinic/Center
- Wauneta, NE
- NPI 1558429472
Operational/Managerial Control, W-2 Managing Employee
-
- Critical Access Hospital
- Imperial, NE
- NPI 1609934843
Operational/Managerial Control, W-2 Managing Employee
-
- Medicare Defined Swing Bed Hospital Unit
- Imperial, NE
- NPI 1881752509
Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chase County Professional Services
- Family Medicine Physician
- Imperial, NE
- NPI 1033277751
-
- Critical Access Hospital
- Imperial, NE
- NPI 1609934843
-
- Critical Access Hospital
- Raton, NM
- NPI 1083931109
-
- Obstetrics & Gynecology Physician
- Colorado Springs, CO
- NPI 1104116896
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Primary Care Clinic/Center
- Leadville, CO
- NPI 1497710958
-
dba Miners Colfax Medical Center RHC
- Rural Health Clinic/Center
- Raton, NM
- NPI 1346780434
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
-
- Critical Access Hospital
- Leadville, CO
- NPI 1457315152
-
dba St. Vincent Family Health Center and Urgent Care
- Rural Health Clinic/Center
- Leadville, CO
- NPI 1467047183
-
dba Chase County Clinic
- Rural Health Clinic/Center
- Wauneta, NE
- NPI 1558429472
-
dba Trinity Mountain Family Practice
- Family Medicine Physician
- Mountain Home, ID
- NPI 1831179696
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Imperial, NE
- NPI 1609934843
-
- Medicare Defined Swing Bed Hospital Unit
- Imperial, NE
- NPI 1881752509
Nursing home
-
dba Imperial Manor Nursing Home
- Skilled Nursing Facility
- Imperial, NE
- NPI 1215924428
Nursing home
-
dba St Vincent Hospital Home Oxygen
- Critical Access Hospital
- Leadville, CO
- NPI 1407811961
-
- Critical Access Hospital
- Leadville, CO
- NPI 1457315152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1124008164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 819",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690330819",
"telephone_number": "308-882-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 12TH ST",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690333131",
"telephone_number": "308-882-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRININGER",
"first_name": "TIMOTHY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M 7253",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0059746",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2019-0990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804213200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124008164",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Imperial, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.