Organization Active NPI

Riverside Friendly Neurology Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Broomfield, CO
National Provider Identifier
1528212446
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
RIVERSIDE FRIENDLY NEUROLOGY INC
Practice address
350 Interlocken Blvd
Suite 360
Broomfield, CO 80021-3477
Phone
(303) 339-1499
Fax
(303) 339-1498
NPI assigned
Nov 5, 2008
Organization subpart
Yes
Parent organization
PRONERVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

350 Interlocken Blvd
Suite 360
Broomfield, CO 80021-3477

Mailing address

350 Interlocken Blvd
Suite 360
Broomfield, CO 80021-3477
Phone (303) 339-1499

National Provider Directory

National Provider Directory
Part of
Pronerve LLC

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1528212446",
    "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": "303-339-1499",
            "fax_number": "303-339-1498"
        },
        {
            "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": "303-339-1499",
            "fax_number": "303-339-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FRIENDLY NEUROLOGY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRONERVE",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "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": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "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 Nov 5, 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.