Individual provider Active NPI

Judith M. Brinkman

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
National Provider Identifier
1356330617
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
38560 Issued in CO
Practice address
6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone
(719) 776-5000
Fax
(303) 306-7753
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 38560 CO Primary

Addresses

Primary practice location

6001 E Woodmen Rd
Colorado Springs, CO 80923

Mailing address

PO Box 780453
Philadelphia, PA 19178-0453
Phone (303) 306-7778

Other identifiers 1

IdentifierTypeStateIssuer
44051221MedicaidCO

Other names 1

  • Judith M. Brinkman Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000614 CO Practitioner - Obstetrics/Gynecology 0244366326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Colorado PCGroup PAC ID 2365601226, 8 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38560COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Jan 1, 2023 Accepting new patients
Obhg Colorado, P.C. Obstetrics & Gynecology CurrentSince Jul 17, 2022 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jan 1, 2023 Accepting new patients
Questcare Obstetrics Colorado LLC CurrentSince Jul 1, 2018 Accepting new patients
Questcare Obstetrics Colorado LLC Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1356330617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780453",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780453",
            "telephone_number": "303-306-7778",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "719-776-5000",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "38560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44051221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BRINKMAN",
            "middle_name": "M.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.