Boulder Intraoperative Monitoring

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

BOULDER INTRAOPERATIVE MONITORING

Practice address

350 Interlocken Blvd
Suite 360
Broomfield, CO 80021-3477

Phone

(720) 407-2700

NPI assigned

Oct 30, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

PRONERVEAs reported in NPPES

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

Authorized official

Name

Steven Sevcik

Title

VP of Finance

Phone

(303) 339-1499

Specialties & licenses 1

Addresses

Part of

Pronerve LLC

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1437338001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 INTERLOCKEN BLVD",
            "address_2": "SUITE 360",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213477",
            "telephone_number": "720-407-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 INTERLOCKEN BLVD",
            "address_2": "SUITE 360",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213477",
            "telephone_number": "720-407-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER INTRAOPERATIVE MONITORING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRONERVE",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SEVCIK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "303-339-1499"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Ann Bottoms, DDS
• Kristie Bottsford
• Boulder Community Health (Medical Imaging Center of Broomfield)
• Boulder Community Health (Buffalo Ridge Medical Center)
• Boulder County Primary Care and Rehab
• Boulder Valley Gastroenterology Inc. (Gastroenterology of the Rockies)
• Boulder Valley Iom, LLC
• Bouldercentre for Orthopedics
• Caitlin Bovard
• Franklin Leroy Bowling Jr., D.M.D.

• Other Technician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Other Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.