Individual provider Active NPI

Brian Allan Erickson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
National Provider Identifier
1629064225
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
DR.0051687 Issued in CO
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WY2 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
I20060328000584 IL Practitioner - Thoracic SurgeryPractitioner - Emergency Medicine 5698792042 Reassigns benefits to 3 organizations
I20170831003026 WY Practitioner - Emergency Medicine 5698792042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Emergency Medicine
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 100Reported as group
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

LicenseStateTypeSpecialty
MD2014-0814NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 30, 2017 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Ahs Il Medical Group LLC CurrentSince Nov 13, 2023 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jul 30, 2017 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Feb 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.