PAWEL BRONKOWSKI (NPI# 1669880837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880837 |
| Entity Type | Individual |
| Full Name | PAWEL BRONKOWSKI |
| Credential | DPT |
| Practice Address |
2150 Stadium Dr Boulder CO 80309 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3033159900 |
| Practice Fax Number | 3033159901 |
| Mailing Telephone | 3033159900 |
| Mailing Fax Number | 3033159901 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PTL.0015927 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2837 W Irving Park Rd, Chicago, IL 606183624 | 7734630249 | 7734630733 |
| Street Address |
2150 STADIUM DR |
| City | BOULDER |
| State | CO |
| Zip Code | 80309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942309794 | Erica J. Meyer | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2006-09-21 |
| 1487172508 | Natalie Victoria Markland | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-4182 | 2017-09-08 |
| 1518487057 | Ellen P Smith | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2017-06-26 |
| 1386183895 | Carly Cubbage | Specialist/Technologist | 2150 Stadium Dr, 368 Ucb, Boulder, CO 80309-0001 | 2017-02-16 |
| 1013456540 | Christopher Decarlo | Specialist/Technologist | 2150 Stadium Dr, Cu Athletics, 368 Ucb, Boulder, CO 80309-0001 | 2017-02-16 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| 1790199883 | Lindsay Anne Donath | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2014-06-17 |
| 1689006751 | Chelsea Coryn Holt | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2013-07-31 |
| 1649519034 | Jeffrey Aaron South | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2013-02-05 |
| 1093078438 | Pamela Bollinger Andringa | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1003179532 | Jessica Lee Hart | Family Medicine | 1900 Wardenburg Dr, Boulder, CO 80309 | 2012-06-19 |
| Find all providers in zip 80309 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757035 | Mark Plaatjes | Physical Therapist | 2775 Pearl St Ste 201, Boulder, CO 80302-3811 | 2009-04-21 |
| 1750996559 | Kathryn Reid Martin | Physical Therapist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2020-09-09 |
| 1649764101 | Candace Cox | Physical Therapist | 3550 Frontier Ave Ste D, Boulder, CO 80301-2430 | 2018-06-19 |
| 1184964645 | Brian P Briggs | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-02-21 |
| 1407027907 | Russell Overy | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-12 |
| 1043481542 | Catherine A Fraser | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-12 |
| 1942470679 | Larry Meyer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1093985673 | Paul Birchard | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1487824066 | Toni Geer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1568632149 | Jeffrey A. Fleming | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| Find all providers in BOULDER | ||||
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| 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.