Individual provider Active NPI

Mark Alan Brinckman, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1548316136
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0051612 Issued in CO
Practice address
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone
(303) 914-8800
Fax
(303) 716-3777
NPI assigned
Jan 26, 2007
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X DR0051612 CO
Neuroradiology Physician 2085N0700X 0051612 CO
Diagnostic Radiology Physician 2085R0202X DR.0051612 CO Primary

Addresses

Primary practice location

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208

Mailing address

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 914-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20130619000091 CO Practitioner - Diagnostic Radiology 2365690096 Reassigns benefits to 19 organizations
I20160910000266 AZ Practitioner - Diagnostic Radiology 2365690096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Franktown, CO 80116
Phone (303) 914-8800

Edwards, CO 81632
Phone (520) 795-2889

1746 Cole Blvd
Suite 100
Lakewood, CO 80401-3208
Phone (704) 334-7800

Franktown, CO 80116-8100
Phone (812) 285-5985

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2419MNMDMental Health Counselor
0051612COMDNeuroradiology Physician
DR.0051612COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 30, 2020 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Jun 23, 2022 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince May 5, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Aug 22, 2025 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Musc Community Physicians CurrentSince Apr 2, 2024 Accepting new patients
Touchstone Imaging of Pensacola, LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2026 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jun 24, 2017 Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology CurrentSince Oct 1, 2015 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 10, 2026 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Dec 3, 2025 Accepting new patients
Page Hospital CurrentSince Jul 20, 2016 Accepting new patients
Vail Clinic, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 30, 2024 Accepting new patients
Colorado Permanente Medical Group, P.C. Diagnostic Radiology CurrentSince Mar 23, 2015 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 28, 2026 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Apr 2, 2024 Accepting new patients
Page Hospital CurrentSince Jul 20, 2016 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Oct 12, 2025 Accepting new patients
Vail Clinic, Inc. CurrentSince Dec 1, 2013 Accepting new patients
Pro Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Professional Raadiology Inc Diagnostic Radiology PastSince Feb 20, 2017 Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
SCL Health Medical Group-Butte LLC Past Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
New Castle Clinic Inc Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 66)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940

19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mbrinckman549600@direct.centracare.com

Organizations & group practices 42

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.

View all 42

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1548316136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINCKMAN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "DR0051612",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "0051612",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0051612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.