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BRO - BOULDER LLC
NPI 1194409441
Orthopaedic Surgery - Sports Medicine in Boulder, CO

Active since June 14, 2023
5420 ARAPAHOE AVE STE A, BOULDER, CO 80303(720) 463-0567(303) 494-5371 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bro - Boulder Llc NPPES

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

BRO - BOULDER LLC (NPI 1194409441) is a healthcare organization registered as a sports medicine in Boulder, Colorado and active in the NPI registry since June 2023. The organization lists Timothy J Mazzola, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1194409441
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameBRO - BOULDER LLC
Location Address5420 ARAPAHOE AVE STE ABoulder, CO 80303-1250
Mailing Address5420 Arapahoe Ave Ste ABoulder, CO 80303-1250 · (720) 463-0567 · Fax (303) 494-5371
Phone(720) 463-0567
Fax(303) 494-5371
Organization SubpartYesParent: Breakthrough Regenerative Orthopedics
Authorized OfficialTimothy J MazzolaSole Owner · (720) 463-0567
Enumeration DateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1194409441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
5420 ARAPAHOE AVE STE A, Boulder, CO 80303
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY JOSEPH MAZZOLA M.D.
Family Medicine (Sports Medicine)
5420 ARAPAHOE AVE STE A
BOULDER, CO 80303
Boulder County (720) 463-0567
BREAKTHROUGH REGENERATIVE ORTHOPEDICS
Orthopaedic Surgery (Sports Medicine)
5420 ARAPAHOE AVE STE A
BOULDER, CO 80303
Boulder County (720) 463-0567
CHRYSTAL L ERICKSON PA
Physician Assistant
5420 ARAPAHOE AVE STE A
BOULDER, CO 80303
Boulder County (720) 463-0567

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 Bro - Boulder LLC's NPI number?

The NPI number for Bro - Boulder LLC is 1194409441. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Bro - Boulder LLC located?

Bro - Boulder LLC is located at 5420 Arapahoe Ave Ste A, Boulder, CO 80303. The listed phone number is (720) 463-0567.

What is Bro - Boulder LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Bro - Boulder LLC was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.