Brian D Wickham, M D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

45123 Issued in CO

Practice address

1819 Denver West Dr
Suite 200
Golden, CO 80401-3118

Phone

(303) 422-9438

Fax

(303) 422-9474

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Colorado School of Medicine, Denver, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132
• Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Anesthesia Services PC

  • Anesthesiology Physician
  • Golden, CO
  • NPI 1861476590
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Intermountain Front Range, Inc

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1811739923
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1235803917
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1669461281
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1891576716
  Care Compare affiliation
• Uchealth Highlands Ranch Hospital

  • General Acute Care Hospital
  • Highlands Ranch, CO
  • NPI 1891294518
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1932321353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 DENVER WEST DR",
            "address_2": "SUITE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013118",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "45123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "45123",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86706802",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Christine Whitehurst, FNP
• David Arthur Whitmore, PT, DPT
• Cheryl Whiton, NP
• Susan Arline Whitson, MS
• Taylor Lee Wickey, MA, CCC-SLP
• Jessica Wieczorek, PA
• Timothy Allen Wienecke, LPC, LAC
• Carol Dolores Wier, GNP
• Lora Wiggans, MS, CCC-SLP
• Wiggle Monkey Physical Therapy, PC

• Anesthesiology Physician in Golden, CO
• Providers in Golden, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.