Individual provider Active NPI

Timothy L. Brininger, M.D.

  • Family Medicine Physician
  • Imperial, NE
National Provider Identifier
1124008164
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2019-0990 Issued in NM
Practice address
600 W 12TH St
Imperial, NE 69033-3131
Phone
(308) 882-7111
NPI assigned
Jan 17, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
804213200MedicaidID
1124008164MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180312001273 CO Practitioner - Family Practice 9537247630 Reassigns benefits to 3 organizations
I20200113000241 NM Practitioner - Family Practice 9537247630 Reassigns benefits to 3 organizations
I20241204003238 NE Practitioner - Family Practice 9537247630 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 2567436736, shared by 5 NPIs, 8 clinicians
St. Vincent General Hospital DistrictGroup PAC ID 4587574884, shared by 4 NPIs, 14 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M 7253IDMDFamily Medicine Physician
MD2019-0990NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chase County Community Hospital Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Miners Colfax Medical Center Current Accepting new patients
Obhg Colorado, P.C. CurrentSince Jun 4, 2019 Accepting new patients
Miners Colfax Medical Center CurrentSince Dec 2, 2019 Accepting new patients
St. Vincent General Hospital District CurrentSince Jul 1, 2023 Accepting new patients
St. Vincent General Hospital District CurrentSince Jul 1, 2023 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 CurrentSince Feb 23, 2018 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 23, 2018 Accepting new patients
Chase County Community Hospital Past Accepting new patients
Idaho Emergency Physicians, P.a. PastSince Dec 1, 2011 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Chase County Community HospitalImperial, NE, CCN 281351 Hospital W-2 Managing Employee
Operational/Managerial Control
Jul 1, 2025
Jul 1, 2025
Chase County Community HospitalImperial, NE, CCN 28Z351 Hospital W-2 Managing Employee
Operational/Managerial Control
Jul 1, 2025
Jul 1, 2025
Chase County ClinicImperial, NE, CCN 283490 Rural health clinic W-2 Managing Employee
Operational/Managerial Control
Jul 1, 2025
Jul 1, 2025
Chase County ClinicWauneta, NE, CCN 283489 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.

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.