National Provider Identifier Database

BRIAN P GRADISEK, DPM – NPI #1700178092
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

BRIAN P GRADISEK, DPM
1400 28TH ST STE 2
BOULDER, CO80303-1096
Phone: 303-449-2000
Fax: 303-449-9475
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for BRIAN P GRADISEK

NPI Number 1700178092
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/05/2011
Last updated 07/27/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 0000766
  • IL License #: 016005597
  • IL Medicaid: 016005597
Hospital affiliation n/a

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.

Reviews for BRIAN P GRADISEK, DPM

There are currently no reviews for BRIAN P GRADISEK, DPM


NPIdb - Home
v2.201