Individual provider Active NPI

Brian Keith Wegner, M.D.

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1649259508
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43117 Issued in CO
Practice address
8585 W 14TH Ave
Suite B2
Lakewood, CO 80215-4857
Phone
(303) 238-1201
Fax
(303) 238-2981
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43117 CO Primary

Addresses

Primary practice location

8585 W 14TH Ave
Suite B2
Lakewood, CO 80215-4857

Mailing address

8585 W 14TH Ave
Suite B2
Lakewood, CO 80215-4857
Phone (303) 238-1201

Other identifiers 13

IdentifierTypeStateIssuer
2591992OtherCOCIGNA
7989592OtherCOAETNA
841365302044OtherCORKY MTN HMO
1649259508OtherCONPI #
513142OtherCOMEDICARE GROUP NUMBER
P00381353OtherRAILROAD MEDICARE
04020541OtherCOMEDICAID GROUP #
84136530247OtherCOPACIFICARE
WE671478OtherCOANTHEM BCBS
1215981634OtherCOGROUP NPI #
84136530247OtherCOPACIFICARE PPO
RO103008OtherCTGROUP ANTHEM BCBS
56339763MedicaidCO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050723000037 CO Practitioner - Family Practice 4082641873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

2152 E 88TH Ave
Thornton, CO 80229-5023
Phone (303) 227-0400

8585 W 14TH Ave
Suite B 2
Lakewood, CO 80215-4860
Phone (303) 238-1201

Hospital & facility affiliations

  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43117COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Dextradeur MD PC PastSince Sep 1, 2020 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.wegner.1@15135.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1649259508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE",
            "address_2": "SUITE B2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154857",
            "telephone_number": "303-238-1201",
            "fax_number": "303-238-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE",
            "address_2": "SUITE B2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154857",
            "telephone_number": "303-238-1201",
            "fax_number": "303-238-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2591992",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7989592",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RKY MTN HMO",
            "identifier": "841365302044",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1649259508",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "513142",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00381353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "04020541",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84136530247",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "WE671478",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1215981634",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PPO",
            "identifier": "84136530247",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM BCBS",
            "identifier": "RO103008",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56339763",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.