Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN P GRADISEK, D.P.M.
ActiveDR. BRIAN P GRADISEK, D.P.M. is a Podiatrist healthcare provider located in BOULDER, Colorado. NPI 1700178092 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · BOULDER, CO
Registration Details
- NPI Number
- 1700178092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2011 (15.263789862574 yrs)
- Last Updated
- Jul 27, 2016
- Licenses
-
016005597 (IL)016005597 (IL)0000766 (CO)
Practice Information
- Address
-
1400 28TH ST STE 2BOULDER, CO, 803031096Browse CO providers · Browse ZIP 80303
- Phone
- 3034492000
- Fax
- 3034499475
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Podiatrist Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| ROBERT ALAN JELINEK | DPM | 1730173519 |
| CHRISTINA ALICE WEBER | DPM | 1790746170 |
| YVONNE BRIDGETT WEBER | DPM | 1891756250 |
| ZAK H WEIS | DPM | 1811903446 |
| DR. NICOLE MEGAN ROTH | DPM | 1770879413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.