Healthcare Provider Details

I. General information

NPI: 1780789214
Provider Name (Legal Business Name): PAUL KENNETH BROWNSTONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ALPINE AVE SUITE 200
BOULDER CO
80304-3406
US

IV. Provider business mailing address

1000 ALPINE AVE SUITE 200
BOULDER CO
80304-3406
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-7229
  • Fax: 303-443-7748
Mailing address:
  • Phone: 303-443-7229
  • Fax: 303-443-7748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number30904
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number30904
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: