Brian P Gradisek DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRIAN P GRADISEK DPM PLLC

Practice address

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

Phone

(303) 449-2000

Fax

(303) 449-9475

NPI assigned

Nov 19, 2018

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, DPM

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

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

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"
        }
    ]
}

• Maurya R Brenneman, LCSW-C
• Debra Brenner
• Laura Bressler, LAC
• Brett Astor Counseling, PLLC
• Brian Kim LLC
• 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.