Boulder Valley Iom, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BOULDER VALLEY IOM, LLC

Practice address

3492 W 155TH Ave
Broomfield, CO 80023-4100

Phone

(202) 316-9902

Fax

(303) 302-1591

NPI assigned

Aug 24, 2017

Last updated

Mar 7, 2024By 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

Alexandra LewisNPI 1063737872

Title

Onwer

Phone

(202) 316-9902

Specialties & licenses 1

Addresses

Locations

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.

• Alexandra Lewis, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Westminster, CO
  • NPI 1063737872
  NPD Authorized official

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1316464076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W 120TH AVE",
            "address_2": "PO BOX 236",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "303-803-4004",
            "fax_number": "303-302-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3492 W 155TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234100",
            "telephone_number": "202-316-9902",
            "fax_number": "303-302-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER VALLEY IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "202-316-9902"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boulder Community Health (Medical Imaging Center of Broomfield)
• Boulder Community Health (Buffalo Ridge Medical Center)
• Boulder County Primary Care and Rehab
• Boulder Intraoperative Monitoring
• Boulder Valley Gastroenterology Inc. (Gastroenterology of the Rockies)
• Bouldercentre for Orthopedics
• Caitlin Bovard
• Franklin Leroy Bowling Jr., D.M.D.
• Nina Richardson Bowling, D.M.D.
• Alyson Evelyn Boyle

• Neurology Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.