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

Bradley D Fanestil, MD

Individual provider Internal Medicine Physician · NPI 1023156254

Bradley D Fanestil, MD is an Internal Medicine Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4801 Riverbend Rd Ste 120B
Boulder, CO 80301-2613
Phone: (303) 415-8615
Fax: (303) 293-0628
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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 · Licence DR.0031874 (CO)

Record details

NPI number1023156254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESMay 10, 2019

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