NPIMap

Individual provider Active NPI

Brian D Holmgren, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1659622256
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3547 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(720) 321-4161
Fax
(720) 321-4165
NPI assigned
Sep 24, 2012
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3547 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20121005000634 CO Practitioner - Physician Assistant 5890944847 Reassigns benefits to 5 organizations
I20171002001339 NE Practitioner - Physician Assistant 5890944847 Reassigns benefits to 2 organizations
I20201203002938 KS Practitioner - Physician Assistant 5890944847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rawlins County Health CenterGroup PAC ID 4688585151, 9 clinicians
Perkins County Hospital DistrictGroup PAC ID 0840109823, shared by 5 NPIs, 22 clinicians

Practice addresses (Care Compare)

707 Grant St
Atwood, KS 67730-1526
Phone 78562632112205

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2166NEMDMental Health Counselor
3547COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Oct 17, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc. CurrentSince May 7, 2018 Accepting new patients
Rawlins County Health Center CurrentSince Jan 1, 2021 Accepting new patients
Perkins County Hospital District CurrentSince May 15, 2024 Accepting new patients
Goodland Regional Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Perkins County Hospital District CurrentSince Jul 1, 2015 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 7, 2018 Accepting new patients
Emergency Service Physicians, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Usacs of Colorado Inc CurrentSince Nov 1, 2016 Accepting new patients
Perkins County Hospital District CurrentSince Jul 1, 2015 Accepting new patients
Usacs of Colorado Inc CurrentSince Nov 1, 2016 Accepting new patients
Rawlins County Health Center Current Accepting new patients
Premier Emergency Services, Inc CurrentSince Apr 1, 2015 Accepting new patients
Goodland Regional Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Goodland Regional Medical Center Past Accepting new patients
Apex Emergency Group, Inc Past Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

707 Grant St
Atwood, KS 67730
Phone (785) 626-3211

106 Willow Rd
Goodland, KS 67735
Phone (785) 890-6012

900 Lincoln Ave
Grant, NE 69140
Phone (308) 352-7200

Interoperability endpoints

  • Direct secure messaging: brian.holmgren.1@13372.direct.athenahealth.com
  • Direct secure messaging: brian.holmgren.1@17074.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13372/brand/1/csg/1/fhir/r4

Organizations & group practices 22

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.

View all 22

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1659622256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5788",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175788",
            "telephone_number": "303-202-1280",
            "fax_number": "303-202-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-4161",
            "fax_number": "720-321-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMGREN",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.