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

Dr. Matthew Charles Kidd Jr., DO

Individual provider Neurology Physician · NPI 1417138322

Dr. Matthew Charles Kidd Jr., DO is a Neurology in Boulder, Colorado. Qualified in 2006, 20 years ago. Licensed in Colorado.

Years since qualifying
20
Licensed in
CO
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4801 Riverbend Rd Ste 200
Boulder, CO 80301-2613
Phone: (303) 415-8800
Fax: (303) 415-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence DR0053389 (CO)

Record details

NPI number1417138322
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 19, 2007
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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