Active NPI
Brian T Shields, MD
- Emergency Medicine Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34182
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (720) 321-4161
- Fax
- (720) 321-4165
- NPI assigned
- Feb 13, 2006
- Last updated
- Aug 1, 2013
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34182 | 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) 903-6191
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128174 | Medicaid | AZ | |
| 200384160A | Medicaid | KS | |
| 8472367 | Medicaid | WA | |
| P00299482 | Other | CO | RR MEDICARE |
| S2113 | Medicaid | NM | |
| 122708400 | Medicaid | WY | |
| 01341825 | Medicaid | CO | |
| Z3275 | Medicaid | UT |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34182 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Usacs of Colorado Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | Current | Accepting new patients |
| Platte Valley Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
Locations
16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560
7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199
4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840
760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Arvada, CO
- NPI 1053824979
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Emergency Medicine Physician
- Breckenridge, CO
- NPI 1003549460
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1992330484
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Canon City, CO
- NPI 1659907046
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1508836198
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": "1821062449",
"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": "303-903-6191",
"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": "SHIELDS",
"first_name": "BRIAN",
"middle_name": "T",
"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": "34182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128174",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200384160A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8472367",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00299482",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S2113",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122708400",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01341825",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z3275",
"state": "UT"
}
],
"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 1, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.