BRYAN COLLIGAN (DO) – Internal Medicine Physician, NPI 1174905350

BRYAN COLLIGAN (DO) is a healthcare provider. based in Erie, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS019484 (PA). The NPI Number for BRYAN COLLIGAN (DO) is 1174905350

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN COLLIGAN (DO)
NPI
1174905350
Phone
(814) 868-8206
Address
5515 PEACH ST
Enumeration Date
23 June 2015
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7163552248
Graduation Year
2015 (11 years ago)
PAC ID
8820305816
Group Practice PAC ID
3971581174
Professional Enrollment ID
I20230227001096
Address ID
NY147249701CL354XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for BRYAN COLLIGAN (DO)

  • 5515 PEACH ST

    ERIE, PA 165092603

    Phone: (814) 868-8206

    Type: Location

  • 965 SHAMROCK LN

    CORRY, PA 164079121

    Phone: (814) 665-8288

    Fax: (814) 664-8618

    Type: Location

  • 2256 LAKEVIEW DR

    ERIE, PA 165066401

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,681.

Total Amount is formed as General ($2,681) + Research ($0) + Ownership ($0) = $2,681.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($454).

Total Amount

$2,681

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,681

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181004000029IInternal MedicinePATBD
I20230227001096IInternal MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16509)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971581174View full group profile
NameSpecialtyState
Family PracticePA
Neurology, Physical Medicine And RehabilitationPA
Orthopedic SurgeryPA
Family PracticePA
Internal MedicinePA
Nurse PractitionerPA
-PA
Sports MedicinePA
Anesthesiology, Interventional Pain Management, Pain ManagementPA
Family PracticePA

Reviews

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Frequently asked questions

Where can patients find BRYAN COLLIGAN (DO)'s NPI?
You can confirm BRYAN COLLIGAN (DO) with NPI 1174905350; it appears in the national provider directory.
Is BRYAN COLLIGAN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRYAN COLLIGAN (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for BRYAN COLLIGAN (DO). Clinical services aligned with this taxonomy classification.
What location shows for BRYAN COLLIGAN (DO)?
We surface Erie, Pennsylvania for BRYAN COLLIGAN (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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