DR. BRYAN J REYNOLDS (NPI# 1396853727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396853727 |
| Entity Type | Individual |
| Full Name | DR. BRYAN J REYNOLDS |
| Credential | M.D. |
| Practice Address |
4743 Arapahoe Ave Ste 201 Boulder CO 80303-1128 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034422395 |
| Practice Fax Number | 3034425232 |
| Mailing Telephone | 3034422395 |
| Mailing Fax Number | 3034421073 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DR.0039638 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
DR.0039638 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939772 | Bryan Jason Reynolds | Physician Assistant | 1324 Brown St, Ste 100, Waxahachie, TX 75165-1421 | 2005-08-15 |
| Street Address |
4743 ARAPAHOE AVE STE 201 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863545 | Molly Glen Ware | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2005-12-22 |
| 1619577681 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2020-10-29 |
| 1588143069 | Sarah Chetham | Emergency Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2018-08-07 |
| 1730570789 | Vitale Grace Battaglini | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2015-02-12 |
| 1760813067 | Kathleen G Dworak | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2013-12-11 |
| 1225326978 | Mark S Lembach | Physician Assistant | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2011-07-15 |
| 1518108075 | Inge J Mcclory | Physician Assistant | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2009-03-13 |
| 1740453752 | Samvel G Aznaurov | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2008-04-10 |
| 1073737664 | Srinivas Iyengar | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2007-04-13 |
| 1902952989 | Brian Stewart Lyle | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043294762 | Matthew Holland | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545437 | Portercare Adventist Health System | Internal Medicine | 2535 S Downing St Ste 460, Denver, CO 80210-5831 | 2020-10-12 |
| 1669070793 | Portercare Adventist Health System | Internal Medicine | 499 E Hampden Ave Ste 280, Englewood, CO 80113-3876 | 2020-10-12 |
| 1891393922 | Portercare Adventist Health System | Internal Medicine | 9399 Crown Crest Blvd Ste 230, Parker, CO 80138-8571 | 2020-10-12 |
| 1235736810 | Advanced Heart and Vein Center Inc | Internal Medicine | 805 E 144th Avenue, Suite 100, Thornton, CO 80602 | 2020-10-06 |
| 1407354764 | Coordinated Health of Co, LLC | Internal Medicine | 255 Union Blvd Ste 150-238, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1639464639 | Aken Desai | Internal Medicine | 12631 E 17th Ave Rm 7104, Aurora, CO 80045-2527 | 2011-06-17 |
| 1659670891 | Rory Scott Bricker | Internal Medicine | 12505 East 16th Avenue, Aip, 3rd Floor, Aurora, CO 80045 | 2011-03-25 |
| 1730235359 | Jason Hatch | Internal Medicine | 1900 Boise Ave Ste 200, Loveland, CO 80538-5004 | 2007-01-26 |
| 1265598387 | Colorado Heart Institute LLC | Internal Medicine | 1455 S Potomac St Ste 101, Aurora, CO 80012-4501 | 2007-01-01 |
| 1114946662 | Joseph Emory Barclay Burchenal | Internal Medicine | 1000 Southpark Drive, Littleton, CO 80120-5654 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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| 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.