Individual provider Active NPI

Paul Bradley Schroeder, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1538622667
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
DR.0074594 Issued in CO
Practice address
1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone
(719) 364-6487
Fax
(719) 364-6488
NPI assigned
Apr 6, 2019
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X DR.0074594 CO Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 0000070371 TN
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 32883 MS

Addresses

Primary practice location

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533

Mailing address

4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone (719) 333-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, SD, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240718001590 MS Practitioner - Orthopedic Surgery 7810397940 Reassigns benefits to 1 organization
I20250814004375 SD Practitioner - Orthopedic Surgery 7810397940 Reassigns benefits to 1 organization
I20250909002094 ID Practitioner - Orthopedic Surgery 7810397940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-1000

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0074594COMDOrthopaedic Surgery Physician
0000070371TNMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Campbell Clinic PC CurrentSince Aug 1, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Surgical Affiliates of California CurrentSince Oct 2, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Orthopaedic Surgery PastSince Jul 17, 2026 Accepting new patients
Poudre Valley Medical Group, LLC General Practice PastSince Jul 17, 2026 Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Locations

625 Pole Line Rd W
Ste 1B
Twin Falls, ID 83301
Phone (208) 814-8100

801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000

6760 Goodman Rd
Ste 110
Olive Branch, MS 38654

7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180

Interoperability endpoints

  • Direct secure messaging: paul.schroeder.1@1366.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1538622667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5040",
            "fax_number": "719-333-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 500",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-364-6487",
            "fax_number": "719-364-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "PAUL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CO",
            "license": "DR.0074594",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TN",
            "license": "0000070371",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MS",
            "license": "32883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.