Brian P Gradisek DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRIAN P GRADISEK DPM PLLC

Doing business as

Foot & Ankle Care of Boulder County
Foot and Ankle Care of Boulder County

Practice address

1400 28TH St Ste 2
Boulder, CO 80303-1096

Phone

(303) 449-2000

Fax

(303) 449-9475

NPI assigned

Nov 19, 2018

Last updated

Feb 17, 2023By 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

Brian P Gradisek, DPMNPI 1700178092

Title

Owner

Phone

(303) 449-2000

Specialties & licenses 1

Addresses

Other names 2

• Foot & Ankle Care of Boulder County Doing business as
• Foot and Ankle Care of Boulder County Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Brian P Gradisek DPM PLLC

  dba Foot and Ankle Care of Boulder County

  • Foot & Ankle Surgery Podiatrist
  • Greeley, CO
  • NPI 1568160604
  NPPES parent name

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.

• Brian P Gradisek, D.P.M.

  • Podiatrist
  • Boulder, CO
  • NPI 1700178092
  Authorized official Same address or phone

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1154890291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 28TH ST STE 2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096",
            "telephone_number": "303-449-2000",
            "fax_number": "303-449-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P GRADISEK DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "GRADISEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-449-2000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Care of Boulder County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Care of Boulder County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brian T. Shea DO LLC
• Karen J Bricken, LMFT
• Kristen Brickl
• Hannah Dustin Brickse, PA-C
• Madeleine Rose Bridge, RBT

• Foot & Ankle Surgery Podiatrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.