Active NPI
Sheri Louise Brinker, MD
- Diagnostic Radiology Physician
- Fruita, CO
National Provider Identifier
1669430450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0054931
- Practice address
- 300 W Ottley Ave
Fruita, CO 81521-2118 - Phone
- (970) 858-2149
- Fax
- (970) 858-2200
- NPI assigned
- May 2, 2006
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35087287 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0054931 | CO | Primary |
| General Practice Physician | 208D00000X | 35087287 | OH | |
| General Practice Physician | 208D00000X | DR.0054931 | CO | |
| General Practice Physician | 208D00000X | 216533 | MA |
Addresses
Primary practice location
300 W Ottley Ave
Fruita, CO 81521-2118
Mailing address
PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000384122 | Other | OH | ANTHEM |
| 000000207338 | Other | OH | UNISON |
| 7717448 | Other | OH | AETNA |
| 2623361 | Medicaid | OH | |
| 341893458 | Other | OH | MMOH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sheribrinker@fhwco.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054931 | CO | MD | Diagnostic Radiology Physician |
| 35087287 | OH | MD | Diagnostic Radiology Physician |
| 216533 | MA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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-
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- Providence, RI
- NPI 1942376033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1669430450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "FRUITA",
"state": "CO",
"postal_code": "815210130",
"telephone_number": "970-858-2186",
"fax_number": "970-858-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OTTLEY AVE",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212118",
"telephone_number": "970-858-2149",
"fax_number": "970-858-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKER",
"first_name": "SHERI",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35087287",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0054931",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35087287",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR.0054931",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "216533",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000384122",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000207338",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7717448",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623361",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMOH",
"identifier": "341893458",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sheribrinker@fhwco.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Family Health West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "300 W Ottley Ave",
"city": "Fruita",
"state": "CO",
"country_code": "US",
"postal_code": "815212118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fruita, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.