ALPINE SURGICAL LLC NPI 1396939203

NPI Information

NPI: 1396939203
Provider Name: ALPINE SURGICAL LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address: 4743 ARAPAHOE AVE
SUITE 102
BOULDER, CO
ZIP 80303
Phone: (303) 449-3642

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NPI Details

ALPINE SURGICAL LLC is a surgery in Boulder, CO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ALPINE SURGICAL LLC NPI is 1396939203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4743 ARAPAHOE AVE
SUITE 102
BOULDER, CO
ZIP 80303-123
Phone: (303) 449-3642

The provider's authorized official is Richard J Fox .
The authorized official title is Owner and has the following contact phone number (303) 449-3642.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 2/19/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		40751	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29954061	MEDICAID	COLORADO
2	59501383	MEDICAID	COLORADO
3	ALA60580	OTHER		BLUE CROSS BLUE SHIELD

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: 11/21/2025

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