Boulder Medical Center, P.c. - Medicare Primary Care in Boulder, CO

  1. Home
  2. Primary Care Clinics
  3. CO
  4. Boulder
Boulder Medical Center, P.c. is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Boulder, Colorado. The current practice location for Boulder Medical Center, P.c. is 2750 Broadway St, Boulder, Colorado. For appointments, you can reach them via phone at (303) 440-3000. The mailing address for Boulder Medical Center, P.c. is 2750 Broadway St, Boulder, Colorado and phone number is (303) 440-3000.

Boulder Medical Center, P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306820923. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 440-3000.

Contact Information

Boulder Medical Center, P.c.
2750 Broadway St
Boulder
CO 80304-3573
(303) 440-3000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBoulder Medical Center, P.c.
SpecialityClinic/Center
Location2750 Broadway St, Boulder, Colorado
Authorized Official Name and PositionCasandra Richards (CREDENTIALING COORDINATOR)
Authorized Official Contact3034403076
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boulder Medical Center, P.c.
2750 Broadway St
Boulder
CO 80304-3573

Ph: (303) 440-3000		Boulder Medical Center, P.c.
2750 Broadway St
Boulder
CO 80304-3573

Ph: (303) 440-3000

NPI Details:

NPI Number1306820923
Provider Enumeration Date12/06/2005
Last Update Date10/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183536204
Medicare Enrollment IDO20031105000512

Medical Identifiers

Medical identifiers for Boulder Medical Center, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306820923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Boulder Medical Center, P.c. acts as a billing entity for following providers:
Provider NameRosemary Greenslade
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134245319
PECOS PAC ID: 5799688495
Enrollment ID: I20040129001133
Provider NameKen O Kreidl
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1942284500
PECOS PAC ID: 9335130764
Enrollment ID: I20040524000245
Provider NameJill L Siegfried
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013991611
PECOS PAC ID: 4486626876
Enrollment ID: I20040806000774
Provider NameDavid H Kruger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639142417
PECOS PAC ID: 6800851726
Enrollment ID: I20041119000687
Provider NameRuth K Weinberg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639305873
PECOS PAC ID: 8628023843
Enrollment ID: I20050321000375
Provider NameChristopher R Pohlman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063496669
PECOS PAC ID: 5991733321
Enrollment ID: I20050727001108
Provider NameKaren M Andrews
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1750365565
PECOS PAC ID: 4486683711
Enrollment ID: I20050808000485
Provider NameCynthia Goacher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730124975
PECOS PAC ID: 0345250882
Enrollment ID: I20060428000201
Provider NameConnor W Graham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669421301
PECOS PAC ID: 8224040092
Enrollment ID: I20060616000078
Provider NameJose M Delgado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275559049
PECOS PAC ID: 0446231260
Enrollment ID: I20070703000129
Provider NameTara T Parks
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659417731
PECOS PAC ID: 0941300099
Enrollment ID: I20070703000245
Provider NameErin Harper-sanchez
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1629293436
PECOS PAC ID: 4284735705
Enrollment ID: I20070726000812
Provider NameKarin R Knapp
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801063433
PECOS PAC ID: 1052476736
Enrollment ID: I20090212000233
Provider NameLong P Huynh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508059288
PECOS PAC ID: 8921164823
Enrollment ID: I20090302000101
Provider NameStuart M Weisman
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1326022930
PECOS PAC ID: 9436216215
Enrollment ID: I20090323000255
Provider NameLaura K Erben
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265637607
PECOS PAC ID: 7315080447
Enrollment ID: I20100211000281
Provider NameRobert H Levine
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1124003330
PECOS PAC ID: 5799810297
Enrollment ID: I20100323000632
Provider NameMaureen A Dickerson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801870563
PECOS PAC ID: 5799810107
Enrollment ID: I20100323000878
Provider NameCoco Dughi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356325013
PECOS PAC ID: 2365578747
Enrollment ID: I20100325000454
Provider NameMichael J Repine
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1316921919
PECOS PAC ID: 8527194505
Enrollment ID: I20100329001042
Provider NameHilary F Wallace
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437133048
PECOS PAC ID: 0941337786
Enrollment ID: I20100427000396
Provider NameRebecca D Kierein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609850247
PECOS PAC ID: 0446387294
Enrollment ID: I20100427000475
Provider NameDonald L Mccormack
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275518482
PECOS PAC ID: 7810024684
Enrollment ID: I20100427000701
Provider NameRandolph A Pinto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285619411
PECOS PAC ID: 1951438738
Enrollment ID: I20100427000761
Provider NameCheryl L Cavanaugh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508840257
PECOS PAC ID: 7113054875
Enrollment ID: I20100428000887
Provider NameKarin N Susskind
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093799694
PECOS PAC ID: 8921135609
Enrollment ID: I20100429000186
Provider NameJon S Rubright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679522551
PECOS PAC ID: 9638206253
Enrollment ID: I20100429000777
Provider NameJennifer H Christensen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750365417
PECOS PAC ID: 3678601127
Enrollment ID: I20100504000868
Provider NameKimberly Dana Lerner
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1225254782
PECOS PAC ID: 7315079357
Enrollment ID: I20100709000700
Provider NamePatricia A Zishka
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1164406781
PECOS PAC ID: 1850458944
Enrollment ID: I20100728000421
Provider NameJarod A Conley
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1871676148
PECOS PAC ID: 1850583204
Enrollment ID: I20101004001516
Provider NameAndrea L Burgess
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972638294
PECOS PAC ID: 4688868581
Enrollment ID: I20101104001109
Provider NameDavid Wayne Link
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558389221
PECOS PAC ID: 2062609852
Enrollment ID: I20101206000780
Provider NameHeather M Bright-hoffmeyer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336116946
PECOS PAC ID: 9537339528
Enrollment ID: I20110830000763
Provider NameMelissa Greenfield Serlen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730164401
PECOS PAC ID: 3779755756
Enrollment ID: I20111017000761
Provider NameBrett A Schultz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1922217884
PECOS PAC ID: 2163569476
Enrollment ID: I20111019000696
Provider NameLori Lieberman Maran
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1740373687
PECOS PAC ID: 4486751963
Enrollment ID: I20111108000423
Provider NameKathryn M Hoch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639268642
PECOS PAC ID: 1456303197
Enrollment ID: I20120210000225
Provider NameRobyn Js Nordstrom Lane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902028079
PECOS PAC ID: 1850481565
Enrollment ID: I20131120000469
Provider NameAndrea M Mertz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255651188
PECOS PAC ID: 1052549557
Enrollment ID: I20140108000318
Provider NameChristine H Abair
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023212610
PECOS PAC ID: 3971652017
Enrollment ID: I20140122001288
Provider NameMark A Birmingham
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1396913117
PECOS PAC ID: 0143371971
Enrollment ID: I20140128000506
Provider NameLauren Brave
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285603696
PECOS PAC ID: 8426085390
Enrollment ID: I20140410000949
Provider NameMark A Hunter
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245464692
PECOS PAC ID: 7911125885
Enrollment ID: I20140908000187
Provider NameAngela C Paddack
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871767954
PECOS PAC ID: 3375786999
Enrollment ID: I20141010001777
Provider NameMadeline V Hoglund
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962802488
PECOS PAC ID: 7810118767
Enrollment ID: I20141020000322
Provider NameJill S Murphey
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1962403782
PECOS PAC ID: 6800999319
Enrollment ID: I20150212000249
Provider NameEmma E K Mccarty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275537078
PECOS PAC ID: 5496758732
Enrollment ID: I20150612002262
Provider NameEvan Enloe Minard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912955329
PECOS PAC ID: 7416902366
Enrollment ID: I20151214002265
Provider NameRebecca M Juliar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760774897
PECOS PAC ID: 0749412849
Enrollment ID: I20160121002218
Provider NameJennifer B Grodberg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114067097
PECOS PAC ID: 7315925815
Enrollment ID: I20170919000963
Provider NameDominik K Rog
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679863112
PECOS PAC ID: 8224302575
Enrollment ID: I20170925003422
Provider NameShawn Denham
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1336581693
PECOS PAC ID: 8325303894
Enrollment ID: I20180604002314
Provider NameKatherine L Mccormack
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1194085183
PECOS PAC ID: 0244532034
Enrollment ID: I20180711002654
Provider NameKatherine Chesney Kennedy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376743856
PECOS PAC ID: 1153519236
Enrollment ID: I20180725002240
Provider NameHelen Y Rho
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710305073
PECOS PAC ID: 3375843402
Enrollment ID: I20180911001820
Provider NameStephen B Siegel
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1902860091
PECOS PAC ID: 3577579887
Enrollment ID: I20181113000222
Provider NameKelly Korte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396227864
PECOS PAC ID: 2860731924
Enrollment ID: I20190307000693
Provider NameJames Gottlieb
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811213838
PECOS PAC ID: 7012157019
Enrollment ID: I20190612001826
Provider NameLindsay Nicole Boyers
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1376938407
PECOS PAC ID: 4981933272
Enrollment ID: I20190911003789
Provider NameElise Marie Itano
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1225449754
PECOS PAC ID: 2961700398
Enrollment ID: I20190919001637
Provider NameJenna Marie Peart
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1912391285
PECOS PAC ID: 6608104740
Enrollment ID: I20200527001421
Provider NameAna M Ramirez Berlioz
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1386025229
PECOS PAC ID: 9436449766
Enrollment ID: I20200716000029
Provider NameGillian Claire Johnston Ditton
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1891174801
PECOS PAC ID: 7719276237
Enrollment ID: I20200727000326
Provider NameHarold Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801860101
PECOS PAC ID: 6901941897
Enrollment ID: I20200804000405
Provider NameTimothy Jaeger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124559398
PECOS PAC ID: 5890064422
Enrollment ID: I20201002000206
Provider NameKrista Toomre
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427007830
PECOS PAC ID: 4688700024
Enrollment ID: I20201020003595
Provider NameChristie Blanton
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1780818286
PECOS PAC ID: 0648588806
Enrollment ID: I20210401000167
Provider NameStacie Teresa Mccally
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679183172
PECOS PAC ID: 9032527486
Enrollment ID: I20210423000448
Provider NameTobey Schultz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679984405
PECOS PAC ID: 7214251628
Enrollment ID: I20210826002259
Provider NameSamuel George Jacobowitz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629427364
PECOS PAC ID: 9931496320
Enrollment ID: I20210908002592
Provider NameEmily A Reznicek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619474822
PECOS PAC ID: 3375899412
Enrollment ID: I20210913000972
Provider NameAllen Ruan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689100711
PECOS PAC ID: 5092136341
Enrollment ID: I20211021001613
Provider NameAlexandra Marie Parshall
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1093472680
PECOS PAC ID: 7113317728
Enrollment ID: I20211214000059
Provider NameFelicia Longenecker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710243217
PECOS PAC ID: 9638482573
Enrollment ID: I20220207002617
Provider NameSidarth Dasari
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497286421
PECOS PAC ID: 7214208396
Enrollment ID: I20220921001805
Provider NameWilliam Logan Gladney
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1548722820
PECOS PAC ID: 1456736784
Enrollment ID: I20220922000436
Provider NameBrian Smith
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366977894
PECOS PAC ID: 3577833599
Enrollment ID: I20221010002701
Provider NameTrent Jarvis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881259091
PECOS PAC ID: 9739415019
Enrollment ID: I20221018002088
Provider NameJennifer Beck
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184887069
PECOS PAC ID: 3476868605
Enrollment ID: I20230215000989
Provider NameNeha Vaitha
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154642130
PECOS PAC ID: 5890935878
Enrollment ID: I20230403000318
Provider NameFabiana Monte Alegre Olmos Fernandez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588288013
PECOS PAC ID: 0042638074
Enrollment ID: I20230719000542
Provider NameJarrell Rayner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902434814
PECOS PAC ID: 9234534264
Enrollment ID: I20230719003103
Provider NameNeal Trulock
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790289270
PECOS PAC ID: 4183006992
Enrollment ID: I20230814002456
Provider NameBetsy Anne Seguin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225737067
PECOS PAC ID: 5890140347
Enrollment ID: I20231018002586
Provider NameElizabeth Alaimo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427404607
PECOS PAC ID: 8628329117
Enrollment ID: I20231127000405

Reviews and Comments


Clinic/Center in Boulder, CO

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.