NPIMap

Individual provider Active NPI

Brian Padraic McColgan, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1639117146
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101016300 Issued in MI
Practice address
250 E. Dunlap Ave
Envision Office
Phoenix, AZ 85020
Phone
(602) 943-2381
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4538 AZ
Emergency Medicine Physician 207P00000X 5101016300 MI Primary

Addresses

Primary practice location

250 E. Dunlap Ave
Envision Office
Phoenix, AZ 85020

Mailing address

5380 E Estevan Rd
Phoenix, AZ 85054-7211
Phone (602) 796-8641

Other identifiers 2

IdentifierTypeStateIssuer
4538OtherAZOSTEOPATHIC PHYSICIAN LICENSE
5101016300OtherMIPHYSICIAN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000218 AZ Practitioner - Emergency Medicine 7810991361 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016300MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Honorhealth Emergency Medicine Current Accepting new patients
Honorhealth CurrentSince May 16, 2022 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Mar 3, 2026 Accepting new patients
Genesys Health Enterprises Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

250 E Dunlap Ave
Ofc
Phoenix, AZ 85020
Phone (602) 870-6316

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1639117146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 E ESTEVAN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850547211",
            "telephone_number": "602-796-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E. DUNLAP AVE",
            "address_2": "ENVISION OFFICE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-943-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLGAN",
        "first_name": "BRIAN",
        "middle_name": "PADRAIC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4538",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN LICENSE",
            "identifier": "4538",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "5101016300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.