Boulder Neurosurgical Associates

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

BOULDER NEUROSURGICAL ASSOCIATES

Practice address

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Phone

(303) 938-5700

Fax

(303) 998-0007

NPI assigned

Jun 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Villavicencio, MDNPI 1720033939

Title

MD

Phone

(303) 938-5700

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Thomas Villavicencio, MD

  • Neurological Surgery Physician
  • Longmont, CO
  • NPI 1720033939
  Authorized official Same address or phone

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093752834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER NEUROSURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VILLAVICENCIO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "303-938-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "GROUP",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boulder Mental Health Center
• Boulder Mobile Acute Care PC
• Boulder Modern Dentistry, LLP (Boulder Modern Dentistry)
• Boulder Natural Medicine Clinic
• Boulder Neuropsychological Services
• Boulder Nutrition & Exercise Services, LLC
• Boulder Oral Surgery
• Boulder Orthodontics
• Boulder Pain Institute, PC
• Boulder Peak Family Practice, Inc.

• Neurological Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.