Brian P Gradisek Dpm Pllc
Brian P Gradisek Dpm Pllc is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Boulder, CO, holding Type 2 (organization) NPI 1154890291 since 2018. The authorized official on file is Brian Gradisek, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154890291 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brian P Gradisek Dpm Pllc |
| Other name | <Unavail> |
| Practice address | 1400 28TH ST STE 2, Boulder, CO, 80303 |
| Phone | 3034492000 |
| Fax | 3034499475 |
| Enumeration date | 2018-11-19 |
| Last updated in NPPES | 2023-02-17 |
Authorized official
| Name | Brian Gradisek |
|---|---|
| Title | Owner |
| Phone | 3034492000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | — | — |
Copy-ready billing details
Provider: Brian P Gradisek Dpm Pllc NPI: 1154890291 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 1400 28TH ST STE 2, Boulder, CO, 80303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700178092 | Brian Gradisek | Individual | Podiatrist | Boulder, CO |
| 1770879413 | Nicole Roth | Individual | Podiatrist | Boulder, CO |
| 1376239293 | Foot and Ankle Care of Boulder County | Organization | Foot & Ankle Surgery Podiatrist | Boulder, CO |
Verify this record
Cross-check NPI 1154890291 against the authoritative CMS record: view Brian P Gradisek Dpm Pllc 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
Who is the authorized official for Brian P Gradisek Dpm Pllc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-02-17.