Bro - Boulder LLC
NPI 1194409441ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Boulder, CO
Orthopaedic Surgery, Sports Medicine in Boulder, Colorado, registered in NPPES in June 2023, part of Breakthrough Regenerative Orthopedics. The authorized official on file is Timothy J. Mazzola, MD, Sole Owner.
Overview
| NPI | 1194409441 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Breakthrough Regenerative Orthopedics |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Jun 14, 2023 |
| Certified by provider | Jun 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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