Jennifer B Grodberg (NPI# 1114067097, PAC ID# 7315925815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114067097 |
| PAC ID by PECOS | 7315925815 |
| Professional Enrollment ID | I20170919000963 |
| Full Name | Jennifer B Grodberg |
| Organization Legal Name | BOULDER MEDICAL CENTER, PC |
| Address |
2750 Broadway St Boulder CO 80304-3573 |
| Phone Number | 3034403000 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4183536204 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2750 Broadway St, Boulder, CO 80304-3573 | 3034403000 | BOULDER MEDICAL CENTER, PC |
| Organization Legal Name | BOULDER MEDICAL CENTER, PC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine H Abair | Obstetrics/gynecology | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| 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 |
| Robert H Levine | Gastroenterology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elise Catherine Reinhard | Geriatric Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elizabeth T. Moran | Physician Assistant | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| Elizabeth D Helgans | Physician Assistant | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Katherine L Mccormack | Allergy/immunology | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| Kimberly Dana Lerner | Endocrinology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip | 80304-3573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen A Treat | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Robert H Levine | Gastroenterology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elise Catherine Reinhard | Geriatric Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Melody Denham | Interventional Pain Management | 2750 Broadway St, Boulder, CO 80304-3573 | |
| Amar Dinker Trivedi | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elizabeth D Helgans | Physician Assistant | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Kimberly Dana Lerner | Endocrinology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Justin Strote | Interventional Cardiology | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Kelly Ann Mandagere | Endocrinology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Laura K Erben | Internal Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Rumbyrt | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| William H Newman | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Francine G Andrews | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Karen Wegela | Psychologist, Clinical | 2590 Norwood Ave, Boulder, CO 80304-1363 | |
| Carol J Schneider | Psychologist, Clinical | 1229 Kalmia Ave, Boulder, CO 80304-1810 | |
| Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Todd C. Becker | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
| Find all physicians in zip 80304 | |||
| City | BOULDER |
| Zip Code | 80304 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOULDER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jennifer B Grodberg.
| 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.