Active NPI
Neurology Institute of Colorado, PLLC
- Clinical Neurophysiology Physician
- Broomfield, CO
National Provider Identifier
1487282992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- NEUROLOGY INSTITUTE OF COLORADO, PLLC
- Practice address
- 433 Summit Blvd Unit 201
Broomfield, CO 80021-8299 - Phone
- (830) 896-8080
- NPI assigned
- Mar 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne K Gazda, MD
- Title
- MD/Owner
- Phone
- (830) 896-8080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
433 Summit Blvd Unit 201
Broomfield, CO 80021-8299
Mailing address
PO Box 293879
Kerrville, TX 78029-3879
Phone (830) 896-8080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585526400000",
"number": "1487282992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293879",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780293879",
"telephone_number": "830-896-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 SUMMIT BLVD UNIT 201",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218299",
"telephone_number": "830-896-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY INSTITUTE OF COLORADO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A",
"authorized_official_last_name": "GAZDA",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "830-896-8080",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.