# BRIAN P GRADISEK DPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot and Ankle Care of Boulder County, Foot & Ankle Care of Boulder County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154890291
- **Authorized official:** BRIAN P GRADISEK DPM (OWNER)
- **Authorized official phone:** (303) 449-2000

## Contact information

- **Practice address:** 1400 28TH ST STE 2, BOULDER, CO 80303-1096
- **Practice address phone:** (303) 449-2000
- **Practice address fax:** (303) 449-9475
- **Mailing address:** PO BOX 21150, BOULDER, CO 80308-4150
- **Mailing address phone:** (303) 546-9158
- **Mailing address fax:** (303) 546-9107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 02/17/2023