Brian P Gradisek DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRIAN P GRADISEK DPM PLLC

Doing business as

Foot and Ankle Care of Boulder County

Practice address

6200 W 9TH St Unit 1B
Greeley, CO 80634-4462

Phone

(303) 449-2000

Fax

(303) 449-9475

NPI assigned

Feb 17, 2023

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BRIAN P GRADISEK DPM PLLCAs reported in NPPES

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

Authorized official

Name

Brian P GradisekNPI 1700178092

Title

Owner

Phone

(303) 449-2000

Specialties & licenses 1

Addresses

Other names 2

• Foot and Ankle Care of Boulder County Doing business as
• Foot and Ankle Care Satellite Clinic Other name

Part of

Brian P Gradisek DPM PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brian P Gradisek DPM PLLC

  dba Foot & Ankle Care of Boulder County

  • Foot & Ankle Surgery Podiatrist
  • Boulder, CO
  • NPI 1154890291
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian P Gradisek, D.P.M.

  • Podiatrist
  • Boulder, CO
  • NPI 1700178092
  Authorized official Same address or phone

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1568160604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-449-2000",
            "fax_number": "303-449-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W 9TH ST UNIT 1B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344462",
            "telephone_number": "303-449-2000",
            "fax_number": "303-449-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P GRADISEK DPM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN P GRADISEK DPM PLLC",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "GRADISEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-449-2000"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Care of Boulder County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Care of Boulder County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot and Ankle Care Satellite Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Debbie Sue Brethauer, RN, BSN
• Daniel Brewer, MD
• Kelly A Brewer, RN
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• Brighi Chiropractic Center
• Matthew Curtis Brighi, D.C.
• Bright Skies Therapy Center LLC
• Cynthia M. Bright, CMT

• Foot & Ankle Surgery Podiatrist in Greeley, CO
• Providers in Greeley, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.