Active NPI
Brian Christopher Collins, D.O.
- Emergency Medicine Physician
- Portsmouth, NH
National Provider Identifier
1285730887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16033
- Practice address
- 73 Corporate Dr
Suite 100
Portsmouth, NH 03801-2847 - Phone
- (603) 610-8051
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1388 | ME | |
| Emergency Medicine Physician | 207P00000X | 16033 | NH | Primary |
Addresses
Primary practice location
73 Corporate Dr
Suite 100
Portsmouth, NH 03801-2847
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 610-8051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078499 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1388 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Pathology Inc | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| WDPC Orthopedics LLC | Past | Accepting new patients |
Locations
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Orthopaedic Surgery Physician
- Somersworth, NH
- NPI 1891291183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1285730887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-610-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CORPORATE DR",
"address_2": "SUITE 100",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012847",
"telephone_number": "603-610-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "1388",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "16033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078499",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.