Brian Colopy
Individual provider Active NPI Family Medicine Physician · Westerville, OH
NPI 1881019792 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1881019792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34012819 (OH)
- Practice address
- 300 Polaris Pkwy Ste 3000
Westerville, OH 43082-7994 - Phone
- (614) 533-3354
- NPI assigned
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- M E D F Physicians Corporation
Practice addresses (Care Compare)
03920 Southland Rd
New Bremen, OH 45869-9790
Phone (419) 629-2772
Hospital & facility affiliations
- Grand Lake Home Health
- Everheart Hospice
- Mercer County Joint Township Community Hospital
- Grand Lake Health System
- Lima Memorial Health System
- Mercy Health St Ritas Medical Center
- Otterbein St Marys Retirement Community
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170721001103 | OH | Practitioner - Family Practice | 2567732605 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34012819 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Family Medicine | Current |
Accepting new patients |
| Ohiohealth Urgent Care LLC | Current |
Accepting new patients | |
| M E D F Physicians Corporation | Family Medicine | Current |
Accepting new patients |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118
950 S Main St
Ste 3
Celina, OH 45822
Phone (419) 586-3017
830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987
03920 Southland Rd
New Bremen, OH 45869
Phone (419) 629-2772
1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601
1010 Refugee Rd
#310
Pickerington, OH 43147
300 Polaris Pkwy
Ste 3000
Westerville, OH 43082
Phone (614) 533-3354
Interoperability endpoints
- bcolopy935364@direct.osumc.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34012819 | OH | Yes |
Addresses
Primary practice location
300 Polaris Pkwy Ste 3000
Westerville, OH 43082-7994
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other practice location 1
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 788-4333
NPI Registry JSON
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1881019792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 POLARIS PKWY STE 3000",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827994",
"telephone_number": "614-533-3354"
}
],
"practiceLocations": [
{
"address_1": "1010 Refugee Rd",
"address_purpose": "LOCATION",
"city": "Pickerington",
"state": "OH",
"postal_code": "431479653",
"country_code": "US",
"telephone_number": "614-788-4333",
"fax_number": "614-788-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLOPY",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-28",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34012819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
- Amanda Coleman
- Ariel Lynette Coleman
- Torae Coleman
- Angela Marie Collins
- Kyla Cologgi
- Columbia Counseling Consulting and Research LLC
- Columbus Behavioral Health, LLC
- Columbus Colony for Elderly Care Inc.
- Columbus Dental Providers LLC
- Columbus Endodontic Specialists LLC
All providers in Westerville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.