# BOULDERCENTRE FOR ORTHOPEDICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780448951
- **Authorized official:** SHERRI ANN LEWIS (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
- **Authorized official phone:** (720) 297-0418

## Contact information

- **Practice address:** 1185 STATE HIGHWAY 7 STE 200, BROOMFIELD, CO 80023-1015
- **Practice address phone:** (303) 449-2730
- **Practice address fax:** (303) 449-5821
- **Mailing address:** 1185 STATE HIGHWAY 7 STE 200, BROOMFIELD, CO 80023-1015
- **Mailing address phone:** (303) 449-2730
- **Mailing address fax:** (303) 449-5821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 02/08/2024
- **Last updated:** 02/08/2024