Changstrom, Bradley Grant

Changstrom, Bradley Grant is an individual health care provider with primary practice located at 2150 Stadium Dr , Boulder CO 80309-7255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Changstrom, Bradley Grant can be contacted via phone (720) 848-2300.

Contact Information

Primary practice address
2150 Stadium Dr Boulder CO 80309-7255
Phone: (720) 848-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0055360 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 55360 Colorado

Profile Details

NPI number 1306136288
LBN Legal business name Changstrom, Bradley Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Jun 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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