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

Four Mile Creek Health

Organization Family Medicine Physician · NPI 1225854425

Four Mile Creek Health is a Family Medicine Physician in Boulder, Colorado. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3434 47th St Ste 225
Boulder, CO 80301-1880
Phone: (703) 850-1533
Fax: (303) 586-7592
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1225854425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Radford Fagan — Vice President · (720) 792-2852
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address3434 47th St Ste 225, Boulder, CO 80301-1880

Other providers in Boulder