BRIAN KEITH WEGNER (NPI# 1649259508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649259508 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH WEGNER |
| Credential | M.D. |
| Practice Address |
8585 W 14th Ave Suite B2 Lakewood CO 80215-4857 |
| Practice Telephone | 3032381201 |
| Practice Fax Number | 3032382981 |
| Mailing Telephone | 3032381201 |
| Mailing Fax Number | 3032382981 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 43117 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56339763 | 05 | |
| CO | PACIFICARE PPO | 84136530247 | 01 |
| CO | MEDICAID GROUP # | 04020541 | 01 |
| CO | NPI # | 1649259508 | 01 |
| CO | MEDICARE GROUP NUMBER | 513142 | 01 |
| CO | CIGNA | 2591992 | 01 |
| CO | RKY MTN HMO | 841365302044 | 01 |
| CO | PACIFICARE | 84136530247 | 01 |
| CT | GROUP ANTHEM BCBS | RO103008 | 01 |
| CO | GROUP NPI # | 1215981634 | 01 |
| CO | ANTHEM BCBS | WE671478 | 01 |
| CO | AETNA | 7989592 | 01 |
| RAILROAD MEDICARE | P00381353 | 01 |
| Street Address |
8585 W 14TH AVE SUITE B2 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80215-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952787459 | Jordan William Hughes | Optometrist | 8585 W 14th Ave, Ste C, Lakewood, CO 80215-4860 | 2015-08-06 |
| 1700161403 | Alison Dee Stoltz | Massage Therapist | 8585 W 14th Ave, Suite B-4, Lakewood, CO 80215-4857 | 2011-10-13 |
| 1770758377 | Brian W Wood Odpc | Eyewear Supplier (Equipment, not the service) | 8585 W 14th Ave, Suite C, Lakewood, CO 80215-4857 | 2008-04-24 |
| 1790909893 | Neurospecialty Associates PC | Psychiatry & Neurology | 8585 W 14th Ave, Ste A, Lakewood, CO 80215-4860 | 2007-04-12 |
| 1437286499 | Krystyna M Lindenmuth | Family Medicine | 8585 W 14th Ave, Suite B2, Lakewood, CO 80215-4857 | 2007-02-27 |
| 1568493658 | Leslie S Harrington Md PC | Physical Medicine & Rehabilitation | 8585 W 14th Ave, Suite A, Lakewood, CO 80215-4857 | 2006-07-06 |
| 1457399487 | Leslie S Harrington | Physical Medicine & Rehabilitation | 8585 W 14th Ave, Suite A, Lakewood, CO 80215-4857 | 2006-06-03 |
| 1518936509 | Brian W. Wood | Optometrist | 8585 W 14th Ave, Suite C, Lakewood, CO 80215-4857 | 2006-03-14 |
| 1023097896 | Aimee Sue Nelson | Family Medicine | 8585 W 14th Ave, Suite B2, Lakewood, CO 80215-4857 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
| 1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
| 1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
| 1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
| Find all providers in zip 80215 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531522 | Scl Health Medical Group - Denver, LLC | Family Medicine | 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 | 2020-09-02 |
| 1952913774 | Scl Health Medical Group - Denver, LLC | Family Medicine | 325 S Teller St Ste 250, Lakewood, CO 80226-7429 | 2020-08-21 |
| 1356860803 | Front Range Clinic Inc. | Family Medicine | 1410 Vance St Ste 201, Lakewood, CO 80214-5435 | 2017-09-15 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1083148324 | Stephanie Baker | Family Medicine | 255 S Routt St, Lakewood, CO 80228-2271 | 2017-04-13 |
| 1043766413 | Paladina Health, LLC | Family Medicine | 3701 Michelson St, Lakewood, CA 90712-1402 | 2016-08-26 |
| 1245686674 | Gary James Cantrell Jr. | Family Medicine | 12105 W Alameda Pkwy Ste 100, Lakewood, CO 80228-2832 | 2016-05-04 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1194145656 | Mile High Wound and Hyperbaric Medicine Pllc | Family Medicine | 12065 W Auburn Dr, Lakewood, CO 80228-4765 | 2014-04-23 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.