Boulder Plastic Surgery Prof LLC
Boulder Plastic Surgery Prof LLC is a healthcare organization registered as Specialist in Boulder, CO, holding Type 2 (organization) NPI 1043251432 since 2006. The authorized official on file is Bethany Mason, Insurance Billing Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043251432 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulder Plastic Surgery Prof LLC |
| Practice address | 1215 SPRUCE ST STE 201, Boulder, CO, 80302 |
| Phone | 3034432277 |
| Fax | 3034437124 |
| Enumeration date | 2006-06-09 |
| Last updated in NPPES | 2025-12-02 |
Authorized official
| Name | Bethany Mason |
|---|---|
| Title | Insurance Billing Coordinator |
| Phone | 3035585407 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD7824 | Other | CO | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Boulder Plastic Surgery Prof LLC NPI: 1043251432 Taxonomy: 174400000X (Specialist) Address: 1215 SPRUCE ST STE 201, Boulder, CO, 80302
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649208646 | Ronald Hartley | Individual | Plastic and Reconstructive Surgery Physician | Boulder, CO |
| 1720138639 | Justin Maxhimer | Individual | Plastic Surgery Physician | Boulder, CO |
| 1801153572 | Joshua Rouch | Individual | Plastic and Reconstructive Surgery Physician | Boulder, CO |
Verify this record
Cross-check NPI 1043251432 against the authoritative CMS record: view Boulder Plastic Surgery Prof LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Boulder Plastic Surgery Prof LLC?
Who is the authorized official for Boulder Plastic Surgery Prof LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-02.