Bryan Alan Groth, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

593 Issued in CO

Practice address

455 E Pikes Peak Ave Ste 220
Colorado Springs, CO 80903-3673

Phone

(719) 475-8080

Fax

(719) 475-0913

NPI assigned

Jun 2, 2006

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1235176546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033648",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PIKES PEAK AVE STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033673",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Briargate Pkwy Ste 235",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207844",
            "country_code": "US",
            "telephone_number": "719-475-8080",
            "fax_number": "719-475-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTH",
        "first_name": "BRYAN",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85559075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Gross, LMFT
• Sidney Gross
• Victoria Gross, MA, LPCC
• Alice Nicole Grosserode
• Shayna Grossman
• Grounded Path Therapy LLC
• Grounds Chiropractic LLC
• John Forbes Grounds
• Group Solutions P.C.
• Grove LLP

• Foot & Ankle Surgery Podiatrist in Colorado Springs, CO
• Providers in Colorado Springs, 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 Jun 15, 2021; 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.