BRIAN P GRADISEK DPM PLLC; NPI #1154890291

Contact Information

BRIAN P GRADISEK DPM PLLC

1400 28TH ST STE 2
BOULDER, CO 80303-1096

Phone: 303-449-2000
Fax: 303-449-9475
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRIAN P GRADISEK DPM PLLC

NPI #	`1154890291`
LBN Legal business name	BRIAN P GRADISEK DPM PLLC
Authorized official	BRIAN GRADISEK - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/19/2018
Last updated	02/17/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIAN P GRADISEK DPM PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BRIAN P GRADISEK DPM PLLC

Reviews for BRIAN P GRADISEK DPM PLLC