Individual provider Active NPI

Robert Brannick, PA-C

  • Physician Assistant
  • Evanston, IL
National Provider Identifier
1144791807
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-006859 Issued in IL
Practice address
355 Ridge Ave
Evanston, IL 60202-3328
Phone
(847) 316-3904
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-006859 IL Primary

Addresses

Primary practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

PO Box 644
Minooka, IL 60447-0644
Phone (815) 263-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428001250 CO Practitioner - Physician Assistant 3678819182 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Lakewood IncGroup PAC ID 9739486374, 24 clinicians
Mile High Urgent Care PLLCGroup PAC ID 4981019965, 24 clinicians

Practice addresses (Care Compare)

12105 W Alameda Pkwy
Suite 100
Lakewood, CO 80228-2832
Phone (303) 988-3600

1335 E S Boulder Rd
Suite C Afc Urgent Care
Louisville, CO 80027-2304
Phone (720) 961-9700

2795 Pearl St
Suite 106
Boulder, CO 80302-3826
Phone (720) 961-9700

4800 Baseline Rd
Suite D106
Boulder, CO 80303-2643
Phone (720) 961-9700

9985 W Remington PL
Littleton, CO 80128-9283
Phone (720) 818-8010

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-006859ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Urgent Care Lakewood Inc CurrentSince Sep 15, 2025 Accepting new patients
Urgent Care Lakewood Inc CurrentSince Sep 15, 2025 Accepting new patients
Colorado Urgent Care Physicians, PC CurrentSince Apr 2, 2024 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Usacs of Colorado Inc CurrentSince Apr 1, 2023 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Urgent Care Lakewood Inc Current Accepting new patients
Usacs of Colorado Inc CurrentSince Apr 1, 2023 Accepting new patients
Premier Emergency Services, Inc CurrentSince Apr 1, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Apr 1, 2023 Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

12105 W Alameda Pkwy
Ste 100
Lakewood, CO 80228
Phone (303) 988-3600

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

1335 E South Boulder Rd
Ste C
Louisville, CO 80027
Phone (720) 961-9700

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Organizations & group practices 15

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 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1144791807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604470644",
            "telephone_number": "815-263-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNICK",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-006859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.