BENJAMIN TODD BJERKE (NPI# 1639496292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639496292 |
| Entity Type | Individual |
| Full Name | BENJAMIN TODD BJERKE |
| Other Name | BENJAMIN TODD BJERKE-KROLL |
| Credential | MD |
| Practice Address |
4740 Pearl Pkwy Ste 200 Boulder CO 80301 |
| Mailing Address |
4740 Pearl Pkwy Ste 200 Boulder CO 80301-3080 |
| Practice Telephone | 3034492730 |
| Practice Fax Number | 3034495821 |
| Mailing Telephone | 3034492730 |
| Mailing Fax Number | 3034495821 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 59080 | MN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 259024 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
16576 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13802491 | 01 |
| Street Address |
4740 PEARL PKWY STE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261676 | Khemarin R Seng | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2005-11-08 |
| 1659789121 | Chelsea Sturgeon | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-29 |
| 1376959593 | Kathleen Kollitz Jegapragasan | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-08 |
| 1659698298 | Austin Warren Chen | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2010-04-21 |
| 1093978223 | William C. Kramer | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2008-07-08 |
| 1780865824 | Timothy H Graves | Physician Assistant | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-11-16 |
| 1245448984 | Dirk Dolbeare | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-18 |
| 1770798795 | Daniel Lee Master | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-12 |
| 1063633691 | James D Thomas | Physician Assistant | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-05-01 |
| 1952427049 | Bouldercentre for Orthopedics | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679546485 | Cathleen Susan Vanbuskirk | Orthopaedic Surgery | 4745 Arapahoe Ave, Suite 300, Boulder, CO 80303-1080 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813671 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 314 South 6th Street, Montrose, CO 81401-5719 | 2018-09-01 |
| 1033617394 | Spine Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-236, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1225536584 | Joint Replacement Cin of Denver LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2018-01-31 |
| 1891200218 | Verus, LLC | Orthopaedic Surgery | 1685 S Colorado Blvd Ste 318, Denver, CO 80222-4000 | 2017-12-07 |
| 1962821777 | Shahbaaz Sabri | Orthopaedic Surgery | 12631 E 17th Ave Rm 4602, Aurora, CO 80045 | 2014-04-09 |
| 1497049753 | Larry Victor Lee | Orthopaedic Surgery | 15530 E Broncos Pkwy Unit 100, Centennial, CO 80112-7111 | 2011-06-04 |
| 1699070193 | Rocky Mountain Orthopedic Specialists | Orthopaedic Surgery | 5285 Mcwhinney Blvd Ste 140, Loveland, CO 80538-8707 | 2011-01-14 |
| 1295966307 | Christopher A Gallus | Orthopaedic Surgery | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2009-08-06 |
| 1679742829 | R Shay Bess Md PC | Orthopaedic Surgery | Dept 2155, Denver, CO 80291-0001 | 2008-02-21 |
| 1912183625 | Robert Bess Md, Facs Orthopaedic Surgery Inc | Orthopaedic Surgery | 8500 Park Meadows Dr, Suite 210, Lone Tree, CO 80124-2742 | 2008-01-11 |
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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.