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BRIAN P GRADISEK DPM PLLC NPI 1154890291


NPI Information

NPI: 1154890291
Provider Name: BRIAN P GRADISEK DPM PLLC

Doing Business As: FOOT AND ANKLE CARE OF BOULDER COUNTY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1400 28TH ST STE 2
BOULDER, CO
ZIP 80303
Phone: (303) 449-2000
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BRIAN P GRADISEK DPM PLLC is a foot and ankle surgery podiatrist in Boulder, CO. BRIAN P GRADISEK DPM PLLC NPI is 1154890291. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot And Ankle Care Of Boulder County.

The provider's business location address is:

1400 28TH ST STE 2
BOULDER, CO
ZIP 80303-096
Phone: (303) 449-2000
Fax: (303) 449-9475

The provider's authorized official is Brian P Gradisek .
The authorized official title is Owner and has the following contact phone number (303) 449-2000.

The enumeration date for this NPI number is 11/19/2018 and was last updated on 2/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.