OrganizationActive
Bro - Boulder LLC
NPI 1194409441 · Sports Medicine (Orthopaedic Surgery) Physician · Boulder, CO
Provider details
- NPI number
- 1194409441
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Breakthrough Regenerative Orthopedics
- Authorized official
- Timothy Mazzola, Sole Owner
Practice location
5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250
Phone: (720) 463-0567
Fax: (303) 494-5371
Mailing address
5420 Arapahoe Ave Ste a
Boulder, CO 80303-1250
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 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.