NPIMap

Organization Active NPI

Wardenburg Health Center

  • Student Health Clinic/Center
  • Boulder, CO
National Provider Identifier
1083815203
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0301 Issued in CO
Legal business name
WARDENBURG HEALTH CENTER
Practice address
1900 Wardenburg Drive University of Colorado
Boulder, CO 80309-0119
Phone
(303) 492-5101
Fax
(303) 492-1747
NPI assigned
May 29, 2007
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gloria Brisson, NP
Title
Sr Dir of Medicalclinical Services
Phone
(303) 492-7088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0301 CO Primary

Addresses

Primary practice location

1900 Wardenburg Drive University of Colorado
Boulder, CO 80309-0119

Mailing address

Ucb 119
University of Colorado
Boulder, CO 80309-0119
Phone (303) 492-5101

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0895971Wardenburg Health Center1900 Wardenburg Drive, Boulder, CO 80309ComplianceSep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Biochemical Genetics la56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

119 University of Colorado
Boulder, CO 80309
Phone (303) 492-8553

1900 Wardenburg Dr University Of Colorado
Boulder, CO 80309

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1083815203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCB 119",
            "address_2": "UNIVERSITY OF COLORADO",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-492-5101",
            "fax_number": "303-492-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WARDENBURG DRIVE UNIVERSITY OF COLORADO",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-492-5101",
            "fax_number": "303-492-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDENBURG HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BRISSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "SR DIR OF MEDICALCLINICAL SERVICES",
        "authorized_official_telephone_number": "303-492-7088",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CO",
            "license": "0301",
            "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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.