Active NPI
Andrew James McBride, M.D.
- Sports Medicine (Family Medicine) Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- DR.0058941
- Practice address
- 1755 48TH St Ste 200
Boulder, CO 80301 - Phone
- (303) 415-7450
- Fax
- (303) 494-5265
- NPI assigned
- May 27, 2014
- Last updated
- May 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0058941 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | DR.0058941 | CO | Primary |
Addresses
Primary practice location
1755 48TH St Ste 200
Boulder, CO 80301
Mailing address
5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-7450
Other practice location 1
955 lawrence st
denver, CO 80204
Phone (303) 556-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0058941 | CO | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians, Incorporated | Sports Medicine | Current | Accepting new patients |
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Family Medicine | Current | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients | |
| Colorado State University | Past | Accepting new patients | |
| Metropolitan State University of Denver | Past | Accepting new patients |
Locations
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Family Medicine
-
dba CU Midwifery - Longmont
- Advanced Practice Midwife
- Longmont, CO
- NPI 1659845568
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
dba Community Medical Associates of BCH
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
dba Hartshorn Health Service
- Clinic/Center
- Fort Collins, CO
- NPI 1528156437
-
dba Health Center at Auraria
- Clinic/Center
- Denver, CO
- NPI 1629196324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1053723023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 WESTERN AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012709",
"telephone_number": "303-415-7450",
"fax_number": "303-494-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 48TH ST STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-415-7450",
"fax_number": "303-494-5265"
}
],
"practiceLocations": [
{
"address_1": "955 lawrence st",
"address_purpose": "LOCATION",
"city": "denver",
"state": "CO",
"postal_code": "80204",
"country_code": "US",
"telephone_number": "303-556-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ANDREW",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2022-05-11",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0058941",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "DR.0058941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.