Organization Active NPI

Neurology Institute of Colorado, PLLC

  • Clinical Neurophysiology Physician
  • Broomfield, CO
National Provider Identifier
1487282992
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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

Updated by the provider on Mar 30, 2020

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)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.