Individual
BRIAN E MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4110 BRIARGATE PKWY STE 460, COLORADO SPRINGS, CO 80920-7839
(719) 364-6487
(719) 364-6488
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036095786
IL
208600000X
Surgery Physician
Primary
DR.0070039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002220321
BC/BS GROUP #
IL
01
—
020041966
RR MEDICARE PROVIDER#
IL
05
—
036095786
—
IL
01
—
CD5773
RR MEDICARE GROUP#
IL
Enumeration date
08/11/2005
Last updated
01/08/2023
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