NPIMap

Individual provider Active NPI

Brian S Yoon, D.O.

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1629364195
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S1739 Issued in TX
Practice address
5005 N Piedras St
Graduate Medical Education
El Paso, TX 79920
Phone
(915) 742-2521
Fax
(915) 742-2653
NPI assigned
Jun 23, 2011
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02004253A IN
Surgery Physician 208600000X S1739 TX Primary

Addresses

Primary practice location

5005 N Piedras St
Graduate Medical Education
El Paso, TX 79920

Mailing address

Evans Army Community Hospital
1650 Cochrane Cir BLDG 7500
Fort Carson, CO 80913

Other practice location 1

100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240125000890 CO Practitioner - General Surgery 8729466206 Reassigns benefits to 2 organizations
I20240819000389 MT Practitioner - General Surgery 8729466206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Surgical and Critical Care Associates PLLCGroup PAC ID 7810978095, 22 clinicians

Practice addresses (Care Compare)

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004253AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare Current Accepting new patients
Poudre Valley Medical Group, LLC Surgery CurrentSince Jan 29, 2024 Accepting new patients
Colorado Surgical and Critical Care Associates PLLC Surgery CurrentSince Aug 28, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 29, 2024 Accepting new patients
Holy Rosary Healthcare CurrentSince Aug 1, 2024 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487

1400 E Boulder St
Ste 600
Colorado Springs, CO 80909
Phone (719) 364-6487

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1629364195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIR BLDG 7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79920",
            "telephone_number": "915-742-2521",
            "fax_number": "915-742-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hillcrest Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128897",
            "country_code": "US",
            "telephone_number": "254-202-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02004253A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.