Individual provider Active NPI

Kathryn Rose Brim Hicks, D.O.

  • Internal Medicine Physician
  • Littleton, CO
National Provider Identifier
1437686250
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.74343 Issued in CO
Practice address
9670 W Coal Mine Ave Ste 200
Littleton, CO 80123-4004
Phone
(303) 932-2121
Fax
(303) 948-6704
NPI assigned
May 11, 2017
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PG183662 OR
Internal Medicine Physician 207R00000X 0102206208 VA
Internal Medicine Physician 207R00000X DR.74343 CO Primary
Hospitalist Physician 208M00000X 0102206208 VA

Addresses

Primary practice location

9670 W Coal Mine Ave Ste 200
Littleton, CO 80123-4004

Mailing address

9670 W Coal Mine Ave Ste 200
Littleton, CO 80123-4004
Phone (303) 932-2121

Other practice location 1

2800 Godwin Blvd Fl 1
Suffolk, VA 23434-8038
Phone (757) 934-4821

Other practice location 2

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200804000934 VA Practitioner - Internal MedicinePractitioner - Hospitalist 5294005724 Reassigns benefits to 1 organization
I20250212000840 CO Practitioner - Internal Medicine 5294005724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9670 W Coal Mine Ave
200 WLNH Primary Care
Littleton, CO 80123-4004
Phone (303) 932-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.74343COMDInternal Medicine Physician
PG183662ORMDInternal Medicine Physician
0102206208VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9670 W Coal Mine Ave
Ste 200
Littleton, CO 80123
Phone (303) 392-2121

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1437686250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 W COAL MINE AVE STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234004",
            "telephone_number": "303-932-2121",
            "fax_number": "303-948-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 W COAL MINE AVE STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234004",
            "telephone_number": "303-932-2121",
            "fax_number": "303-948-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Godwin Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348038",
            "country_code": "US",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIM HICKS",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "PG183662",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102206208",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.74343",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0102206208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.