Active NPI
Brian J Kingston, MD
- Family Medicine Physician
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K2052
- Practice address
- 2429 35TH Ave
Greeley, CO 80634-4171 - Phone
- (303) 338-4545
- NPI assigned
- Jun 8, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50704 | CO | |
| Family Medicine Physician | 207Q00000X | 52296 | KY | |
| Family Medicine Physician | 207Q00000X | K2052 | TX | Primary |
Addresses
Primary practice location
2429 35TH Ave
Greeley, CO 80634-4171
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other practice location 1
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone (859) 257-1000
Other practice location 2
3593 E Grande Blvd
Tyler, TX 75707-1400
Phone (903) 839-2582
Other practice location 3
8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475
Phone (903) 606-5100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085HB | Other | TX | BCBS ID# |
| 42938368 | Medicaid | CO | |
| 024616 | Other | CO | KASIER COMMERCIAL NUMBER |
| 130895907 | Medicaid | TX | |
| 080179674 | Other | TX | RAILROAD MEDICARE ID# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 94.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50704 | CO | MD | Family Medicine Physician |
| 52296 | KY | MD | Family Medicine Physician |
| K2052 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
8934 S Broadway Ave
Ste 448
Tyler, TX 75703
Phone (903) 606-5100
3593 E Grande Blvd
Tyler, TX 75707
Phone (903) 606-1664
Interoperability endpoints
- bkingston429892@christushealth.direct-ci.net
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1356345391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2429 35TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344171",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "2195 Harrodsburg Rd Ste 125",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043504",
"country_code": "US",
"telephone_number": "859-257-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3593 E Grande Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757071400",
"country_code": "US",
"telephone_number": "903-839-2582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8934 S Broadway Ave Ste 448",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035475",
"country_code": "US",
"telephone_number": "903-606-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINGSTON",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "50704",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "52296",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K2052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID#",
"identifier": "0085HB",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42938368",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KASIER COMMERCIAL NUMBER",
"identifier": "024616",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130895907",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID#",
"identifier": "080179674",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "CAREQUALITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2429 35th Ave",
"city": "Greeley",
"state": "CO",
"country_code": "US",
"postal_code": "806344171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.