Active NPI
Bryan N Wogen, PA-C
- Physician Assistant
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004177
- Practice address
- 7610 N Union Blvd Ste 150
Colorado Springs, CO 80920-3800 - Phone
- (719) 434-8810
- NPI assigned
- Dec 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0004177 | CO | Primary |
Addresses
Primary practice location
7610 N Union Blvd Ste 150
Colorado Springs, CO 80920-3800
Mailing address
559 Vincent St
Space Base Delta 1
Peterson Space Force Base, CO 80914
Phone (719) 922-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40533824 | Medicaid | CO |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
595 Chapel Hills Dr
Suite 303
Colorado Springs, CO 80920-1057
Phone (719) 434-8810
595 Chapel Hills Dr
Suite 303B
Colorado Springs, CO 80920-1022
Phone (719) 922-1002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004177 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flatirons Family Practice Inc | Past | Accepting new patients | |
| Simms Crossing Family Practice Inc | Past | Accepting new patients | |
| Rocky Mountain Senior Care SC PC | Past | Accepting new patients | |
| Elane Shirar MD Inc | Past | Accepting new patients |
Interoperability endpoints
- bryan.wogen.1@26269.direct.athenahealth.com
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.
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- NPI 1215423124
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- NPI 1134227291
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-
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- NPI 1336507839
-
- Family Medicine Physician
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- NPI 1003854480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1588061725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 VINCENT ST",
"address_2": "SPACE BASE DELTA 1",
"city": "PETERSON SPACE FORCE BASE",
"state": "CO",
"postal_code": "80914",
"telephone_number": "719-922-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 N UNION BLVD STE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203800",
"telephone_number": "719-434-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOGEN",
"first_name": "BRYAN",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40533824",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.