Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boulder Internal Medicine PC

Organization Family Medicine Physician · NPI 1104911361

Boulder Internal Medicine PC is a Family Medicine Physician in Boulder, Colorado. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2880 Folsom St Ste 100
Boulder, CO 80304-3769
Phone: (303) 443-7226
Fax: (303) 443-7168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1104911361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Blanchet — President · (303) 443-7226
Other names Front Range Preventive Imaging
NPI enumeratedOctober 4, 2006
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address2880 Folsom St, Suite 100, Boulder, CO 80304-3769

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