| Boulder Biologics, Llc | |
|
4745 Arapahoe Ave Ste 300 Boulder CO 80303-1292 | |
| (720) 550-6175 | |
| Not Available |
| Full Name | Boulder Biologics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4745 Arapahoe Ave Ste 300, Boulder, Colorado |
| Authorized Official Name and Position | Jason Wells Glowney (PRESIDENT) |
| Authorized Official Contact | 7205506175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Biologics, Llc 4745 Arapahoe Ave Ste 300 Boulder CO 80303-1292 Ph: (720) 550-6175 | Boulder Biologics, Llc 4745 Arapahoe Ave Ste 300 Boulder CO 80303-1292 Ph: (720) 550-6175 |
| NPI Number | 1477039907 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 9537411129 |
|---|---|
| Medicare Enrollment ID | O20181009003298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477039907 | NPI | - | NPPES |
| 1922264175 | Other | CO | INDIVIDUAL NPI NUMBER FOR JASON GLOWNEY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 47816 (Colorado) | Primary |
| Provider Name | Scott William Taylor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164647715 PECOS PAC ID: 4284717455 Enrollment ID: I20080214000127 |
| Provider Name | Jason W Glowney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922264175 PECOS PAC ID: 6406900851 Enrollment ID: I20101123000843 |
| Provider Name | Lauren Shana Rudolph |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134530033 PECOS PAC ID: 7719285477 Enrollment ID: I20190614000286 |
Pearl Podiatry Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Pearl St, Suite #240, Boulder, CO 80302 Phone: 303-442-2910 Fax: 303-442-2931 | |
Community Medical Assoc Of Bch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629 | |
High Altitude Spine And Sport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, #101, Boulder, CO 80303 Phone: 303-829-1040 Fax: 303-440-0905 | |
Boulder Center For Age Management Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 38th St Ste 207w, Boulder, CO 80301 Phone: 720-381-3318 Fax: 720-496-1780 | |
Mental Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Alpine Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 720-687-2752 | |
University Of Colorado Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 303-544-3900 | |
Kaiser Permanente Baseline Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545 |