Boulder Community Health

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BOULDER COMMUNITY HEALTH

Doing business as

Community Medical Assoc of B.C.H.

Practice address

90 Health Park Dr Ste 130
Louisville, CO 80027-9586

Phone

(303) 415-5399

Fax

(303) 297-5808

NPI assigned

Aug 16, 2019

Last updated

Jun 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BOULDER COMMUNITY HEALTHAs reported in NPPES

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

Authorized official

Name

William A Munson Jr.

Title

VP,Cfo

Phone

(303) 415-7433

Specialties & licenses 1

Addresses

Other names 2

• Community Medical Assoc of B.C.H. Doing business as
• Boulder Valley Pulmonology of B.C.H. Louisville Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Part of

BCH Physician Clinics

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1114573938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 130",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-415-5399",
            "fax_number": "303-297-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER COMMUNITY HEALTH",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP,CFO",
        "authorized_official_telephone_number": "303-415-7433",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Assoc of B.C.H.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Medical Assoc of B.C.H.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boulder Valley Pulmonology of B.C.H. Louisville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Bodine, DPT
• Kevin Scott Boehm, M.D.
• James A Bondarovich, D.C.
• Cosette Lynn Boon, M.A.; LPC
• Eric Boucher, D.M.D.
• Boulder Dermatology Clinic, PC
• Boulder Endocrinology Physicians (Boulder Endocrinology PLLC)
• Boulder Medical Center, P.C.
• Boulder Neurology and Concussion PLLC (Boulder Neurology and Concussion)
• Boulder Plastic Surgery Prof LLC

• Medical Specialty Clinic/Center in Louisville, CO
• Providers in Louisville, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.