Bro - Boulder LLC
NPI 1194409441 · Sports Medicine (Orthopaedic Surgery) Physician · Boulder, CO
Bro - Boulder LLC is a Sports Medicine (Orthopaedic Surgery) Physician organization in Boulder, CO (NPI 1194409441).
Provider details
- NPI number
- 1194409441
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Breakthrough Regenerative Orthopedics
- Organization subpart
- Yes
- Authorized official
- Timothy Mazzola, Sole Owner(720) 463-0567
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is Bro - Boulder LLC's NPI number?
- Bro - Boulder LLC's National Provider Identifier (NPI) is 1194409441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bro - Boulder LLC?
- Bro - Boulder LLC is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Bro - Boulder LLC located?
- Bro - Boulder LLC's practice location on file with NPPES is 5420 Arapahoe Ave Ste a, Boulder, CO 80303-1250.
- What is Bro - Boulder LLC's phone number?
- The practice phone number listed in the NPPES registry for Bro - Boulder LLC is (720) 463-0567.
- Who is the authorized official for Bro - Boulder LLC?
- The authorized official listed on Bro - Boulder LLC's NPPES record is Timothy Mazzola, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bro - Boulder LLC's NPI active?
- Yes — Bro - Boulder LLC's NPI (1194409441) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.