Bulow Provider Network, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BULOW PROVIDER NETWORK, LLC

Doing business as

Colorado Rehabilitation Consultants

Practice address

1601 E 19TH Ave
Suite 5200
Denver, CO 80218-1216

Phone

(615) 550-8774

NPI assigned

Jul 19, 2012

Last updated

Nov 6, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BULOW BIOTECH PROSTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Brad Gardner

Title

VP of Finance and Clinic Ops

Phone

(615) 550-8774

Specialties & licenses 1

Addresses

Other names 1

• Colorado Rehabilitation Consultants Doing business as

Part of

Bulow Biotech Prosthetics LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bulow Biotech Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Denver, CO
  • NPI 1114278900

  Member Of

  NPD member

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.

• Bulow Biotech Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Denver, CO
  • NPI 1114278900
  NPPES parent name

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1588919047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287",
            "telephone_number": "615-550-8774",
            "fax_number": "615-454-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 5200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "615-550-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULOW PROVIDER NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BULOW BIOTECH PROSTHETICS, LLC",
        "enumeration_date": "2012-07-19",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VP OF FINANCE AND CLINIC OPS",
        "authorized_official_telephone_number": "615-550-8774"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Rehabilitation Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Bullis, L.AC., MS (TOM)
• Apryle Bullock
• Jessica Bullock, LCSW
• Bulow Biotech Prosthetics, LLC
• Bulow Ops, LLC (Bulow Orthotic and Prosthetic Solutions)
• Anna Bulow
• Aryn Bultez
• Jack C Bumgardner
• Marilyn K Bumgarner, RPH
• Stefan Michael Bumol

• Physical Medicine & Rehabilitation Physician in Denver, CO
• Providers in Denver, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.