Brian Gradisek (NPI# 1700178092, PAC ID# 5698994515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1700178092 |
| PAC ID by PECOS | 5698994515 |
| Professional Enrollment ID | I20150924001519 |
| Full Name | Brian Gradisek |
| Organization Legal Name | BRIAN P GRADISEK DPM PLLC |
| Address |
1400 28th St Suite 2 Boulder CO 80303-1096 |
| Phone Number | 3034492000 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3779829338 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 3034492000 | BRIAN P GRADISEK DPM PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BRIAN P GRADISEK DPM PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Megan Roth | Podiatry | Brian P Gradisek Dpm Pllc | 1400 28th St, Suite 2, Boulder, CO 80303-1096 |
| Street Address |
1400 28TH ST SUITE 2 |
| City | BOULDER |
| State | CO |
| Zip | 80303-1096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Megan Roth | Podiatry | Brian P Gradisek Dpm Pllc | 1400 28th St, Suite 2, Boulder, CO 80303-1096 |
| Thomas Edward Shonka | Podiatry | Foot and Ankle Care of Boulder County LLC | 1400 28th St, Suite 2, Boulder, CO 80303-1096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine L Johnston | Psychologist, Clinical | 4141 Arapahoe Ave, Suite 201, Boulder, CO 80303-1032 | |
| Jill L Siegfried | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Christopher R Pohlman | General Surgery | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Karin N Susskind | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Laurie Anne Rodenberg | Certified Nurse Midwife (cnm) | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Heather M Bright-hoffmeyer | Obstetrics/gynecology | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Shawn Denham | Qualified Audiologist | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Bettina L Willuhn | Physician Assistant | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Jeremiah Eric Mcnamara | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Christine C Hansen | Obstetrics/gynecology | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1082 | |
| Find all physicians in zip 80303 | |||
| City | BOULDER |
| Zip Code | 80303 |
| Specialty | PODIATRY |
| City + Specialty | BOULDER + PODIATRY |
Please comment or provide details below to improve the information on Brian Gradisek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.