Active NPI
Mark Alan Brinckman, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0051612
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2419 | MN | MD | Mental Health Counselor |
| 0051612 | CO | MD | Neuroradiology Physician |
| DR.0051612 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Norton Clark Physician Practices, LLC | Current | Accepting new patients | |
| Touchstone Imaging of Pensacola, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Spectrum Medical Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Touchstone Imaging of Pensacola, LLC | Current | Accepting new patients | |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Northwest Radiology Network P C | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Synergy Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Page Hospital | Current | Accepting new patients | |
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Colorado Permanente Medical Group, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Musc Community Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Page Hospital | Current | Accepting new patients | |
| M & B Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Pro Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Pro Radiology, LLC | Past | Accepting new patients | |
| Professional Raadiology Inc | Diagnostic Radiology | Past | 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 | Past | Accepting new patients | |
| Radiology Associates of Macon PC | Diagnostic Radiology | Past | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
CO, Diagnostic Radiology
-
dba CPMG
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
Diagnostic Radiology
-
dba Perioperative Medicine Care Center
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Radiology Clinic/Center
- Brighton, CO
- NPI 1164881652
Diagnostic Radiology
-
dba Northwest Radiology Network
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1447259338
CO
-
- Critical Access Hospital
- Page, AZ
- NPI 1578515789
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA HealthONE Mountain Ridge Hospital
- General Acute Care Hospital
- Thornton, CO
- NPI 1821042979
-
dba HCA HealthONE Northeast ER, A part of Mountain Ridge Hospital
- Emergency Care Clinic/Center
- Thornton, CO
- NPI 1447815881
Hospital
-
dba HCA HealthONE Northwest ER, A part of Mountain Ridge Hospital
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1639734072
Hospital
-
dba Atrium Health Lincoln
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
dba MUSC Health Columbia Medical Center Northeast
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
-
dba MUSC Health Columbia Medical Center Downtown
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
-
dba MUSC Health Fairfield Emergency and Imaging Center
- Clinic/Center
- Winnsboro, SC
- NPI 1811563737
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- Bridges Psychotherapy, Inc. (Jenny Bridges, LCSW)
- Elizabeth Ann Bridges, M.P.T.
- Jenny Bridges, LCSW, ACSW, CEAP
- Bright Eyes Vision Clinic PC a Colorado Professional Corporation (All About Kids Vision Clinic)
- Griffin Brill
- Danielle Christa Brink Kahn, MD
- Eric Allen Brinker, BA,LSW, DVOMB AS. LV
- Holly Brisbane
- Brisk Technologies Inc (Brisk Health)
- Ramona Britt, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.