Provider Demographics
NPI:1245382522
Name:AIKIN, R BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:R
Middle Name:BRIAN
Last Name:AIKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281169
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-8169
Mailing Address - Country:US
Mailing Address - Phone:303-202-0924
Mailing Address - Fax:303-785-0927
Practice Address - Street 1:8015 W ALAMEDA AVE
Practice Address - Street 2:STE 150
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3041
Practice Address - Country:US
Practice Address - Phone:303-202-0924
Practice Address - Fax:303-785-0927
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35139207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04020640Medicaid
COCM8428Medicare ID - Type Unspecified
CO04020640Medicaid