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BOULDER VALLEY IOM, LLC
NPI 1316464076
Psychiatry & Neurology - Neurology in Broomfield, CO

Active since August 24, 2017
3492 W 155TH AVE, BROOMFIELD, CO 80023(202) 316-9902(303) 302-1591 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Jul 21, 2022, Aug 24, 2017 (3 updates tracked since 2017).

About Boulder Valley Iom, Llc NPPES

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

BOULDER VALLEY IOM, LLC (NPI 1316464076) is a healthcare organization registered as a neurology in Broomfield, Colorado and active in the NPI registry since August 2017. The organization lists Alexandra Lewis, Onwer, as its authorized official.

NPPES Registry Identity

NPI1316464076
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBOULDER VALLEY IOM, LLC
Location Address3492 W 155TH AVEBroomfield, CO 80023-4100
Mailing Address5023 W 120th Ave, Po Box 236Broomfield, CO 80020-5606 · (303) 803-4004 · Fax (303) 302-1591
Phone(202) 316-9902
Fax(303) 302-1591
Organization SubpartNo
Authorized OfficialAlexandra LewisOnwer · (202) 316-9902
Enumeration DateAugust 24, 2017
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1316464076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3492 W 155TH AVE, Broomfield, CO 80023
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Valley Iom, LLC's NPI number?

The NPI number for Boulder Valley Iom, LLC is 1316464076. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Boulder Valley Iom, LLC located?

Boulder Valley Iom, LLC is located at 3492 W 155th Ave, Broomfield, CO 80023. The listed phone number is (202) 316-9902.

What is Boulder Valley Iom, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Boulder Valley Iom, LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.