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Contact Information

BRADLEY G CHANGSTROM, MD
2150 STADIUM DR
BOULDER, CO80309-7255
 Phone: 720-848-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRADLEY G CHANGSTROM · (Male)

NPI # 1306136288
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2011
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # 55360
  • CO License # DR.0055360
Hospital affiliation(s)
  • UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT - (Acute Care)
    12605 EAST 16TH AVENUE
    AURORA, CO 80045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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