Dr. Brian P Gradisek is a Boulder, Colorado based male podiatrist with 13 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2011. He is also affiliated with hospitals like Boulder Community Health. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brian P Gradisek for Podiatry is 016005597 in Illinois. Dr. Brian P Gradisek is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Brian P Gradisek speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
13+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1400 28th St Ste 2, Boulder, Colorado, 80303-1096
Phone:
303-449-2000
Fax:
303-449-9475
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698994515
Enrollment ID:
I20150924001519
NPI Number:
1700178092
NPI Enumeration Date:
05 May, 2011
NPI Last Update On:
27 Jul, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian P Gradisek are as mentioned below.
License Number
Specialization
State
Status
016005597
Podiatry
Illinois
Primary
016005597
Podiatric Foot & Ankle Surgery
Illinois
Secondary
0000766
Podiatric Foot & Ankle Surgery
Colorado
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Boulder Community Health (060027)
Boulder, CO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brian P Gradisek is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Brian P Gradisek Dpm Pllc (3779829338)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian P Gradisek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016005597
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1400 28th St Ste 2, Boulder, Colorado
Zip:
80303-1096
Phone Number:
303-449-2000
Fax Number:
303-449-9475
Patients can reach Dr. Brian P Gradisek at 1400 28th St Ste 2, Boulder, Colorado or can call to book an appointment on 303-449-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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