NPIMap

Organization Active NPI

Boulder County Primary Care and Rehab

  • Specialist
  • Broomfield, CO
National Provider Identifier
1306383039
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BOULDER COUNTY PRIMARY CARE AND REHAB
Practice address
413 Summit Blvd
#101
Broomfield, CO 80021-8294
Phone
(303) 842-0367
Fax
(888) 382-8131
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Garret Rock, D.C.
Title
Partner
Phone
(303) 842-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

413 Summit Blvd
#101
Broomfield, CO 80021-8294

Mailing address

400 Indiana St Ste 320
Golden, CO 80401-5033
Phone (303) 842-0367

National Provider Directory

National Provider Directory

Locations

13734 E Quincy Ave
Aurora, CO 80015
Phone (303) 690-0292

600 N Grant St
Ste 202
Denver, CO 80203

2599 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 458-7061

12505 W 32nd Ave
Wheat Ridge, CO 80033
Phone (303) 237-9617

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1306383039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015033",
            "telephone_number": "303-842-0367",
            "fax_number": "888-382-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD",
            "address_2": "#101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218294",
            "telephone_number": "303-842-0367",
            "fax_number": "888-382-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER COUNTY PRIMARY CARE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-842-0367",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.