Active NPI
Brian Keith Wegner, M.D.
- Family Medicine Physician
- Lakewood, CO
National Provider Identifier
1649259508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2591992 | Other | CO | CIGNA |
| 7989592 | Other | CO | AETNA |
| 841365302044 | Other | CO | RKY MTN HMO |
| 1649259508 | Other | CO | NPI # |
| 513142 | Other | CO | MEDICARE GROUP NUMBER |
| P00381353 | Other | RAILROAD MEDICARE | |
| 04020541 | Other | CO | MEDICAID GROUP # |
| 84136530247 | Other | CO | PACIFICARE |
| WE671478 | Other | CO | ANTHEM BCBS |
| 1215981634 | Other | CO | GROUP NPI # |
| 84136530247 | Other | CO | PACIFICARE PPO |
| RO103008 | Other | CT | GROUP ANTHEM BCBS |
| 56339763 | Medicaid | CO |
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
Enrollment records 1
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 Partnership
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43117 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd Dextradeur MD PC | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Westminster, CO
- NPI 1215981634
-
- Internal Medicine Physician
- Thornton, CO
- NPI 1881864072
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1811739923
-
- General Acute Care Hospital
- Golden, CO
- NPI 1235803917
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1669461281
-
- General Acute Care Hospital
- Golden, CO
- NPI 1891576716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.