BRIAN WAYNE REDLINE MD, MPH
NPI 1619771193
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Brian Redline's NPI number?

The NPI number for Brian Redline is 1619771193. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Brian Redline's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Redline was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2025PECOS Enrolled

12631 E 17TH AVE STE B177, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brian Wayne Redline Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN WAYNE REDLINE MD, MPH (NPI 1619771193) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0010852) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619771193

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRIAN WAYNE REDLINECredential: MD, MPH

Location Address12631 E 17TH AVE STE B177Aurora, CO 80045-2527

Mailing Address12631 E 17th Ave Ste B177Aurora, CO 80045-2527 · (303) 724-1784

Phone(303) 724-1784

Sole ProprietorNo

Enumeration DateApril 3, 2025

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1619771193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0010852

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12631 E 17TH AVE STE B177, Aurora, CO 80045

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Wayne Redline Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN SUTTON MCARTHUR MD, PHD

Student in an Organized Health Care Education/Training Program