Bodhi Infusion Center, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

BODHI INFUSION CENTER, LLC

Practice address

2760 29TH St Ste 1C
Boulder, CO 80301-1221

Phone

(707) 256-9085

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Candace Glazier, CRNANPI 1902825227

Title

Owner

Phone

(707) 256-9085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace S Glazier, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1902825227
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1104698349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 29TH ST STE 1C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011221",
            "telephone_number": "707-256-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 29TH ST STE 1C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011221",
            "telephone_number": "707-256-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI INFUSION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "GLAZIER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-256-9085",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Hunter Blumenthal, OTR/L
• Boroka Bo, LAC
• Jennifer Doyle Bobrow, PT
• S. Allan Bock, M.D.
• Celia Bockhoff, L.C.S.W.
• Laura Bodmer, LMSW
• Ann M Bodnar, M.A.
• Body and Balance Chiropractic
• Body Dynamics, Inc.
• Bodywise Physical Therapy Professional LLC

• Infusion Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Infusion Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.