BRADLEY GRANT CHANGSTROM M.D.
NPI 1306136288
Internal Medicine - Sports Medicine in Boulder, CO

Q: What is Bradley Changstrom's NPI number?

The NPI number for Bradley Changstrom is 1306136288. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Q: What is Bradley Changstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment

2150 STADIUM DR, BOULDER, CO 80309(720) 848-2300 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bradley Grant Changstrom M.d. NPPES

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

BRADLEY GRANT CHANGSTROM M.D. (NPI 1306136288) is an individual sports medicine provider in Boulder, Colorado, licensed in Colorado (55360) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Aurora (2011).

NPPES Registry Identity

NPI1306136288

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameBRADLEY GRANT CHANGSTROMCredential: M.D.

Location Address2150 STADIUM DRBoulder, CO 80309-7255

Mailing AddressPo Box 110429Aurora, CO 80042 · (303) 493-7000

Phone(720) 848-2300

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2011

Enumeration DateApril 13, 2011

Last NPPES UpdateJune 7, 2024

NPPES CertifiedJune 7, 2024

✔ NPI 1306136288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in CO · 55360

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0055360 (CO)

2150 STADIUM DR, Boulder, CO 80309

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Secondary Practice Location 1

Location 18111 E Lowry BlvdDenver, CO 80230-7255 · Phone (720) 848-9500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley Grant Changstrom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244465482

PECOS Enrollment IDI20151103001979

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

128 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services53 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

66 services34 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

60 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

3 suppliers12 claims420 services$6.00 avg. paid by Medicare

Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$27.72 avg. paid by Medicare

Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing E0439

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$58.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DECARLO

Specialist/Technologist (Athletic Trainer)

2150 STADIUM DR, CU ATHLETICS, 368 UCB
BOULDER, CO 80309

Boulder County (303) 735-7121

TIMOTHY HILDEN PT

Physical Therapist (Sports)