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

Dr. Brian P Gradisek, DPM

Individual provider Podiatrist · NPI 1700178092

Dr. Brian P Gradisek, DPM is a Podiatry in Boulder, Colorado. Graduated from Kent State University College of Podiatric Medicine in 2011, 15 years ago. Practices with Foot and Ankle Care of Boulder County, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
15
Trained at
Kent State University College of Podiatric Medicine
Licensed in
CO, IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1400 28th St Ste 2
Boulder, CO 80303-1096
Phone: (303) 449-2000
Fax: (303) 449-9475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016005597 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005597 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 0000766 (CO)

Record details

NPI number1700178092
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESJuly 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Foot And Ankle Care Of Boulder County — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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