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

Boulder Plastic Surgery Prof LLC

Organization Specialist · NPI 1043251432

Boulder Plastic Surgery Prof LLC is a Specialist in Boulder, Colorado. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1215 Spruce St Ste 201
Boulder, CO 80302-4839
Phone: (303) 443-2277
Fax: (303) 443-7124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1043251432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethany Mason — Insurance Billing Coordinator · (303) 558-5407
NPI enumeratedJune 9, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address1215 Spruce St Ste 201, Boulder, CO 80302-4839

Other providers in Boulder