Individual provider Active NPI

Brian Keola Rolfson, MD

  • Emergency Medicine Physician
  • Westminster, CO
National Provider Identifier
1821062340
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32225 Issued in CO
Practice address
2551 W 84TH Ave
St. Anthony North Hospital, Emergency Dept.
Westminster, CO 80031-3807
Phone
(303) 426-2020
Fax
(303) 426-2164
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32225 CO Primary

Addresses

Primary practice location

2551 W 84TH Ave
St. Anthony North Hospital, Emergency Dept.
Westminster, CO 80031-3807

Mailing address

PO Box 5788
Denver, CO 80217-5788
Phone (303) 909-9859

Other identifiers 6

IdentifierTypeStateIssuer
Z3280MedicaidUT
200384310AMedicaidKS
01322254MedicaidCO
113258000MedicaidWY
448028MedicaidAZ
S2048MedicaidNM

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

LicenseStateTypeSpecialty
32225COMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1821062340",
    "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": "303-909-9859",
            "fax_number": "303-202-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 W 84TH AVE",
            "address_2": "ST. ANTHONY NORTH HOSPITAL, EMERGENCY DEPT.",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313807",
            "telephone_number": "303-426-2020",
            "fax_number": "303-426-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFSON",
        "first_name": "BRIAN",
        "middle_name": "KEOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "32225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3280",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384310A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01322254",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113258000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448028",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S2048",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.