Bradley Grant Changstrom, MD in Boulder, CO - Medicare Internal Medicine

Bradley Grant Changstrom, MD is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Boulder, Colorado. He went to University Of Colorado School Of Medicine, Denver and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice University Physicians Incorporated and his current practice location is 2150 Stadium Dr, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 848-2300.

Bradley Grant Changstrom is licensed to practice in Colorado (license number 55360) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306136288.

Contact Information

	Bradley Grant Changstrom, MD
	2150 Stadium Dr, Boulder, CO 80309-7255
	(720) 848-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley Grant Changstrom
Gender	Male
Speciality	Internal Medicine
Experience	13 Years
Location	2150 Stadium Dr, Boulder, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley Grant Changstrom attended and graduated from University Of Colorado School Of Medicine, Denver in 2011

NPI Data:

NPI Number: 1306136288
Provider Enumeration Date: 04/13/2011
Last Update Date: 06/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0244465482
Enrollment ID: I20151103001979

Medical Identifiers

Medical identifiers for Bradley Grant Changstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306136288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DR.0055360 (Colorado)	Secondary
207RS0010X	Internal Medicine - Sports Medicine	55360 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Colorado Hospital Authority	Aurora, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Physicians Incorporated	3476465667	2639

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradley Grant Changstrom allows following entities to bill medicare on his behalf.

Entity Name	University Physicians Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Grant Changstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bradley Grant Changstrom, MD Po Box 110429, Aurora, CO 80042 Ph: (303) 493-7000	Bradley Grant Changstrom, MD 2150 Stadium Dr, Boulder, CO 80309-7255 Ph: (720) 848-2300

Reviews and Comments

Internal Medicine Doctors in Boulder, CO

Ms. Martha E Montour, RN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-440-2690
Chester J Dreiman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2562 Briarwood Dr, Boulder, CO 80305 Phone: 303-501-2195
Pamela G Ingram, MSN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-554-5164
Bradley D Fanestil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Riverbend Rd Ste 120b, Boulder, CO 80301 Phone: 303-415-8615 Fax: 303-293-0628
Dr. Joseph Randall Lutt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Folsom St Ste 105, Boulder, CO 80302 Phone: 720-494-4706 Fax: 720-494-4706
Dr. Amy O Campbell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304 Phone: 303-327-7047 Fax: 303-443-7168
Wael F. Garas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629

Bradley Grant Changstrom, MD - Medicare Internal Medicine in Boulder, CO