BRADLEY D FANESTIL (M.D.) – Internal Medicine Physician, NPI 1023156254

BRADLEY D FANESTIL (M.D.) is a healthcare provider. based in Boulder, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. DR.0031874 (CO). The NPI Number for BRADLEY D FANESTIL (M.D.) is 1023156254

Main info

Male
39 Years Of Experience
Name
BRADLEY D FANESTIL (M.D.)
NPI
1023156254
Phone
(303) 415-4250
Address
5450 WESTERN AVE
Enumeration Date
1 February 2007
Last Update Date
10 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
4789618950
Professional Enrollment ID
I20050927000294
Address ID
CO802163610DE3513XBLVD303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,994 INTERNAL MEDICINE in CO

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Provider Addresses for BRADLEY D FANESTIL (M.D.)

  • 5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States

    BOULDER, CO 803012709

    Phone: (303) 415-4250

    Fax: (303) 440-9629

    Type: Mailing

  • Riverbend Road, Riverbend Office Park, Boulder, Boulder County, Colorado, 80303-1229, United States

    BOULDER, CO 803012613

    Phone: (303) 415-8615

    Fax: (303) 293-0628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes19293$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or9057$0
99205New patient office or other outpatient visit, 60-74 minutes4242$0
99214Established patient office or other outpatient visit, 30-39 minutes2515$0
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Insurance plans in this area (ZIP 80301)

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Reviews

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Frequently asked questions

Is there an official ID for BRADLEY D FANESTIL (M.D.) in U.S. healthcare records?
The official identifier for BRADLEY D FANESTIL (M.D.) is NPI 1023156254.
Would BRADLEY D FANESTIL (M.D.) appear as active to a payer?
You can treat BRADLEY D FANESTIL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BRADLEY D FANESTIL (M.D.)?
BRADLEY D FANESTIL (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BRADLEY D FANESTIL (M.D.)?
Directory geography for BRADLEY D FANESTIL (M.D.) centers on Boulder, Colorado.
When was this NPI issued?
Enumeration for BRADLEY D FANESTIL (M.D.) is noted as February 1, 2007 where the registry provides it.

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