OrganizationActive
Brian P Gradisek DPM PLLC
NPI 1154890291 · Foot & Ankle Surgery Podiatrist · Boulder, CO
Provider details
- NPI number
- 1154890291
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Brian Gradisek, Owner
Practice location
1400 28th St Ste 2
Boulder, CO 80303-1096
Phone: (303) 449-2000
Fax: (303) 449-9475
Mailing address
Po Box 21150
Boulder, CO 80308-4150
Registry dates
- Enumerated
- 2018-11-19
- Last updated
- 2023-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.