Active NPI
Bryan Rodriguez
- Acupuncturist
- Boulder, CO
National Provider Identifier
1760981443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25260
- Practice address
- 2805 Broadway St
Boulder, CO 80304-3544 - Phone
- (303) 718-2673
- NPI assigned
- Feb 7, 2018
- Last updated
- Feb 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25260 | CO | Primary |
Addresses
Primary practice location
2805 Broadway St
Boulder, CO 80304-3544
Mailing address
2805 Broadway St
Boulder, CO 80304-3544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25260 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1760981443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043544",
"telephone_number": "303-718-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "25260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
- Rocky Mountain Sleep Consultants, Inc.
- Rocky Mountain Treatment Centers, Boulder, LLC
- Rocky Mountain Urgent Care, LLC
- Rocky Mountain Veterinary Cardiology
- Clara Patricia Rodriguez Cisneros
- Ivonne Rodriguez
- Marisol M Rodriguez, PSYCHOTHERAPIST, CFI
- Michele Kaitlin Rodriguez, MSOM, LAC, LMT
- Yessenia Rodriguez, MA
- Anna T Roe, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.