Bouldercentre for Orthopedics PC
NPI 1336197631ActiveOrganization· Orthopaedic Surgery· Boulder, CO
Orthopaedic Surgery in Boulder, Colorado, registered in NPPES in May 2006. The authorized official on file is Ingrid Anderson, Credentialing Coordinator. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1336197631 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — | — |
| Clinic/Center, Magnetic Resonance Imaging (MRI) | 261QM1200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CO); Part B Supplier - Clinic/Group Practice (CO) |
|---|
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