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BOULDER HEADACHE AND PAIN PLLC
NPI 1114432903
Neuromusculoskeletal Medicine & OMM in Boulder, CO

Active since December 04, 2017
5377 MANHATTAN CIR STE 200, BOULDER, CO 80303(303) 225-6625(303) 225-6626 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2019, Dec 4, 2017 (2 updates tracked since 2017).

About Boulder Headache And Pain Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULDER HEADACHE AND PAIN PLLC (NPI 1114432903) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Boulder, Colorado and active in the NPI registry since December 2017. The organization lists Alex G Reish, Owner, as its authorized official.

NPPES Registry Identity

NPI1114432903
Entity TypeOrganization
Primary Taxonomy204D00000X
Legal Business NameBOULDER HEADACHE AND PAIN PLLC
Location Address5377 MANHATTAN CIR STE 200Boulder, CO 80303-4345
Mailing Address5377 Manhattan Cir Ste 200Boulder, CO 80303-4345 · (303) 225-6625
Phone(303) 225-6625
Fax(303) 225-6626
Organization SubpartNo
Authorized OfficialAlex G ReishOwner · (303) 225-6625
Enumeration DateDecember 4, 2017
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1114432903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in CO · 46517
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 46517 (CO)
5377 MANHATTAN CIR STE 200, Boulder, CO 80303
Open in Google Maps ↗

Other Identifiers 1

Medicaid62451383CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boulder Headache And Pain Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boulder Headache And Pain PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alex Reish, DO
Pain Management
NPI 1760694525
5377 MANHATTAN CIR STE 200
Boulder, CO 80303
(303) 225-6625
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulder Headache And Pain PLLC's NPI number?

The NPI number for Boulder Headache And Pain PLLC is 1114432903. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Boulder Headache And Pain PLLC located?

Boulder Headache And Pain PLLC is located at 5377 Manhattan Cir Ste 200, Boulder, CO 80303. The listed phone number is (303) 225-6625.

What is Boulder Headache And Pain PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Boulder Headache And Pain PLLC enrolled in Medicare?

Yes. Boulder Headache And Pain PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boulder Headache And Pain PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Boulder Headache And Pain PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boulder Headache And Pain PLLC was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.