IndividualActive
Bradley Changstrom, M.D.
NPI 1306136288 · Sports Medicine (Internal Medicine) Physician · Boulder, CO
Provider details
- NPI number
- 1306136288
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0055360 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2150 Stadium Dr
Boulder, CO 80309-7255
Phone: (720) 848-2300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110429
Aurora, CO 80042
Additional practice locations (1)
- 8111 E Lowry BlvdDenver, CO 80230-7255Phone: (720) 848-9500
Registry dates
- Enumerated
- 2011-04-13
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.