NPIMap

Individual provider Active NPI

Eric Gourley

  • Urology Physician
  • Aurora, CO
National Provider Identifier
1336463447
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0064296 Issued in CO
Practice address
1411 S Potomac St Ste 210
Aurora, CO 80012-4538
Phone
(303) 695-6106
NPI assigned
Mar 18, 2010
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DR.0064296 CO Primary

Addresses

Primary practice location

1411 S Potomac St Ste 210
Aurora, CO 80012-4538

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (443) 738-2889

Other practice location 1

11960 Lioness Way Ste 210
Parker, CO 80134-5644
Phone (303) 695-6106

Other practice location 2

10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456
Phone (303) 695-6106

Other practice location 3

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 567-5643

Other identifiers 1

IdentifierTypeStateIssuer
DR.0064296OtherCOSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200522002083 CO Practitioner - Urology 5698074417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
Suite 210
Aurora, CO 80012-4538
Phone (303) 695-6106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064296COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Lithotripter LLC Urology CurrentSince Mar 15, 2022 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Jun 1, 2020 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Jun 1, 2020 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Advanced Urology, PLLC Urology Current Accepting new patients

Locations

1411 S Potomac St
Ste 210
Denver, CO 80012
Phone (303) 750-0883

3535 S Lafayette St
Ste 220
Englewood, CO 80113
Phone (303) 839-6060

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211

11960 Lioness Way
Ste 210
Parker, CO 80134
Phone (303) 695-8706

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: ericgourley@fu.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1336463447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "443-738-2889",
            "fax_number": "443-471-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124538",
            "telephone_number": "303-695-6106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Lioness Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345644",
            "country_code": "US",
            "telephone_number": "303-695-6106",
            "fax_number": "303-695-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10535 Park Meadows Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801248456",
            "country_code": "US",
            "telephone_number": "303-695-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0064296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR.0064296",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.