Basic Information
Provider Information
NPI: 1508095423
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: BRIAN
MiddleName: PARISH
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1819 DENVER WEST DRIVE
Address2: SUITE 101
City: LAKEWOOD
State: CO
PostalCode: 80401
CountryCode: US
TelephoneNumber: 3034161360
FaxNumber: 3034161058
Practice Location
Address1: 11600 WEST 2ND PLACE
Address2:  
City: LAKEWOOD
State: CO
PostalCode: 80228
CountryCode: US
TelephoneNumber: 7203210000
FaxNumber: 7203211621
Other Information
ProviderEnumerationDate: 07/13/2009
LastUpdateDate: 02/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XN7691TXN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XDR.0055202COY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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