BRYAN ALAN GROTH (NPI# 1235176546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235176546 |
| Entity Type | Individual |
| Full Name | BRYAN ALAN GROTH |
| Credential | DPM |
| Practice Address |
455 E Pikes Peak Ave Ste 220 Colorado Springs CO 80903-3673 |
| Mailing Address |
455 E Pikes Peak Ave Suite 220 Colorado Springs CO 80903-3648 |
| Practice Telephone | 7194758080 |
| Practice Fax Number | 7194750913 |
| Mailing Telephone | 7194758080 |
| Mailing Fax Number | 7194750913 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
593 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 85559075 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4105 Briargate Pkwy Ste 235, Colorado Springs, CO 809207844 | 7194758080 | 7194750913 |
| Street Address |
455 E PIKES PEAK AVE STE 220 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467459 | Maya Christie Trueman | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2017-06-20 |
| 1629198213 | Eric J. Gessner | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2007-03-29 |
| 1902969090 | Jacob Daniel Fassman | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-12-19 |
| 1669548988 | Foot & Ankle Center of Southern Colorado PC | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042841 | Hainge Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Springs, CO 80907-4916 | 2006-12-27 |
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1114921731 | Nicholas Sol | Podiatrist | 5014 El Camino Dr, The Walking Clinic, PC, Colorado Springs, CO 80918-2106 | 2005-06-10 |
| 1598396889 | Optumcare Colorado Springs, LLC | Podiatrist | 5014 El Camino Dr, Colorado Springs, CO 80918-2104 | 2020-01-27 |
| 1003362450 | Mcvay Foot & Ankle, PC | Podiatrist | 6160 Tutt Blvd, Ste 150, Colorado Springs, CO 80923-3500 | 2016-08-26 |
| 1134583172 | Darrick Richard Dominick | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2016-04-06 |
| 1851769152 | Teague Gearhart | Podiatrist | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2015-09-03 |
| 1003294083 | Foot and Ankle Institute of Colorado, PC | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2015-05-11 |
| 1457746844 | Travis Kotter | Podiatrist | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2015-04-01 |
| 1356743447 | Tiffany Liu | Podiatrist | 8580 Scarborough Dr Ste 120, Colorado Springs, CO 80920-7583 | 2014-09-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on BRYAN ALAN GROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.