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

Bro - Boulder LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1194409441

Bro - Boulder LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
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

5420 Arapahoe Ave Ste A
Boulder, CO 80303-1250
Phone: (720) 463-0567
Fax: (303) 494-5371
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1194409441
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBreakthrough Regenerative Orthopedics
Authorized official Timothy Mazzola — Sole Owner · (720) 463-0567
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address5420 Arapahoe Ave Ste A, Boulder, CO 80303-1250

Other providers in Boulder