Active NPI
Brian Allan Erickson, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- DR.0051687
- Practice address
- 2222 N Nevada Ave
Ste 5011
Colorado Springs, CO 80907-6819 - Phone
- (719) 776-7600
- Fax
- (719) 473-3553
- NPI assigned
- Sep 20, 2005
- Last updated
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD2014-0814 | NM | |
| Surgery Physician | 208600000X | 2005026717 | MO | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | DR.0051687 | CO | Primary |
Addresses
Primary practice location
2222 N Nevada Ave
Ste 5011
Colorado Springs, CO 80907-6819
Mailing address
2222 N Nevada Ave
Ste 5011
Colorado Springs, CO 80907-6819
Phone (719) 776-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WY
- 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
- Thoracic Surgery
- Education
- Saint Louis University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2014-0814 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Ahs Il Medical Group LLC | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Surgery | Current | Accepting new patients |
| Nopah Vista Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403
Interoperability endpoints
- ericksob@yourcarecommunity.org
Organizations & group practices 9
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.
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
dba Wagon Circle Family Medical Clinic
- Family Medicine Physician
- Rawlins, WY
- NPI 1508900341
-
dba Deaconess IL Specialty Express 2700 DeYoung
- Family Medicine Physician
- Marion, IL
- NPI 1134836695
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Home Health Agency
- Rawlins, WY
- NPI 1295896496
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
-
- Emergency Medicine Physician
- Pahrump, NV
- NPI 1396794095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1629064225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE",
"address_2": "STE 5011",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-7600",
"fax_number": "719-473-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE",
"address_2": "STE 5011",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-7600",
"fax_number": "719-473-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "BRIAN",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2014-0814",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2005026717",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CO",
"license": "DR.0051687",
"primary": true
}
],
"identifiers": [],
"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 Dec 3, 2014; 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.