Provider Demographics
NPI:1346354602
Name:BRINKIS, EDMUND ZIGMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:ZIGMAS
Last Name:BRINKIS
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 1:1700 WHEELING ST
Mailing Address - Street 2:DEPT. OF ORTHOPEDIC SURGERY, M/S D3-112
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7211
Mailing Address - Country:US
Mailing Address - Phone:720-857-5582
Mailing Address - Fax:
Practice Address - Street 1:1700 WHEELING ST
Practice Address - Street 2:DEPT. OF ORTHOPEDIC SURGERY, M/S D3-112
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7211
Practice Address - Country:US
Practice Address - Phone:720-857-5582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-080750207X00000X
FLME98308207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0165700Medicaid
OHH292190Medicare PIN
H90976Medicare UPIN
FLP00828174Medicare PIN
FLBB229YMedicare PIN