Individual
DR. TIMOTHY W BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 633-5515
(719) 365-1307
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2417
(970) 652-2927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036126968
IL
207Q00000X
Family Medicine Physician
036126968
IL
207Q00000X
Family Medicine Physician
DR.0061598
CO
207Q00000X
Family Medicine Physician
F3766
TX
208D00000X
General Practice Physician
Primary
DR.0061598
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136863
—
TX
05
—
113686305
—
TX
05
—
113686306
—
TX
01
—
75-2616977-066
TRICARE
TX
01
—
8DZ891
BCBS
TX
01
—
8F5719
BCBS
TX
05
—
9000173087
—
CO
01
—
P01092668
RAIL ROAD
TX
Enumeration date
06/16/2006
Last updated
12/10/2025
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