BOULDER NEUROLOGY AND CONCUSSION (NPI# 1336622570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336622570 |
| Entity Type | Organization |
| Organization Name | BOULDER NEUROLOGY AND CONCUSSION |
| Practice Address |
400 Mccaslin Blvd Suite 200 Louisville CO 80027 |
| Practice Telephone | 7206086077 |
| Mailing Telephone | 7206086077 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | DR. ALLISON RACHEL GRAY (OWNER) |
| Authorized Official Telephone | 7206086077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Boulder Neurology and Concussion, PLLC | 5723 Arapahoe Avenue, Suite 1b, Boulder, CO 80303 |
| Street Address |
400 MCCASLIN BLVD SUITE 200 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| 1215382239 | Norris Scott Golberg | Chiropractor | 956 W Cherry St Ste 102, Louisville, CO 80027 | 2016-04-27 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114372141 | Marwa Ali Mahgoub Elnazeir | Psychiatry & Neurology | 401 E Chestnut St Ste 500, Louisville, KY 40202-5700 | 2016-04-27 |
| 1427411537 | James Lamb | Psychiatry & Neurology | 500 S Preston St Dept Of, Hsc #113, Louisville, KY 40202-1702 | 2016-04-05 |
| 1194111807 | Murali Kolikonda | Psychiatry & Neurology | 500 S. Preston St., Rm. 113, Louisville, KY 40202 | 2015-04-09 |
| 1023317633 | Alicia Erin Bennett | Psychiatry & Neurology | 100 Health Park Drive, Louisville, CO 80027 | 2011-03-22 |
| 1477879815 | Victoria Holiday | Psychiatry & Neurology | 220 Abraham Flexner Way Ste 606, Louisville, KY 40202-3826 | 2010-04-09 |
| 1285871525 | Asad Ismail Psychytry Neurology Services, Psc | Psychiatry & Neurology | 10210 Springhurst Garden Circle, Louisville, KY 40241 | 2009-01-08 |
| 1164674891 | Jignesh Jagdish Shah | Psychiatry & Neurology | 401 East Chestnut Street, Ste #510, Msc 1063, Louisville, KY 40202-5710 | 2008-10-13 |
| 1285821876 | Brian Maxwell Plato | Psychiatry & Neurology | 3991 Dutchmans Ln Ste 200, Louisville, KY 40207-4723 | 2007-09-27 |
| 1386845378 | George W Scott II | Psychiatry & Neurology | 3900 Kresge Way Ste 56, Louisville, KY 40207-1144 | 2007-05-29 |
| 1598974123 | Mohammad Saeed Alsorogi | Psychiatry & Neurology | 201 E Gray St, Suite 1003, Louisville, KY 40202-3906 | 2007-05-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
Please comment or provide details below to improve the information on BOULDER NEUROLOGY AND CONCUSSION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.