Active NPI
Brian Todd Pickle, DDS
- Oral and Maxillofacial Pathology Dentistry
- Colorado Springs, CO
National Provider Identifier
1295740603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 7214
- Practice address
- 9480 Briar Village Point
Suite 300
Colorado Springs, CO 80920-7979 - Phone
- (719) 599-0670
- Fax
- (719) 599-0613
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 7214 | CO | Primary |
| Prosthodontics | 1223P0700X | 7214 | CO |
Addresses
Primary practice location
9480 Briar Village Point
Suite 300
Colorado Springs, CO 80920-7979
Mailing address
9480 Briar Village Point
Suite 300
Colorado Springs, CO 80920-7979
Phone (719) 599-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 23, 2012 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7214 | CO | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Creek Imaging, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Colorado Springs, CO
- NPI 1437493848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295740603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 BRIAR VILLAGE POINT",
"address_2": "SUITE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207979",
"telephone_number": "719-599-0670",
"fax_number": "719-599-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 BRIAR VILLAGE POINT",
"address_2": "SUITE 300",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207979",
"telephone_number": "719-599-0670",
"fax_number": "719-599-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKLE",
"first_name": "BRIAN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "CO",
"license": "7214",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CO",
"license": "7214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.