BRADLEY GRANT CHANGSTROM (M.D.) – Sports Medicine (Internal Medicine) Physician, NPI 1306136288

BRADLEY GRANT CHANGSTROM (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in SPORTS MEDICINE, FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. DR.0055360 (CO). The NPI Number for BRADLEY GRANT CHANGSTROM (M.D.) is 1306136288

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY GRANT CHANGSTROM (M.D.)
NPI
1306136288
Phone
(720) 848-9500
Address
8111 E Lowry Blvd
Enumeration Date
13 April 2011
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
3034412219
Graduation Year
2011 (15 years ago)
PAC ID
0244465482
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20151103001979
Address ID
CO803093979BO2150XFLOO501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

199 SPORTS MEDICINE in CO

Provider Addresses for BRADLEY GRANT CHANGSTROM (M.D.)

  • 8111 E Lowry Blvd

    Denver, CO 802307255

    Phone: (720) 848-9500

    Type: Location

  • 8111 E LOWRY BLVD

    DENVER, CO 802307255

    Phone: (720) 848-9500

    Type: Location

  • PO BOX 110429

    AURORA, CO 80042

    Phone: (303) 493-7000

    Type: Mailing

  • 2150 STADIUM DR

    BOULDER, CO 803097255

    Phone: (720) 848-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Orthofix Medical, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orthofix Medical, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151103001979ISports MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10119$0
99214Established patient office or other outpatient visit, 30-39 minutes9976$0
20610Aspiration and/or injection of fluid from large joint7229$0
99203New patient office or other outpatient visit, 30-44 minutes5554$0
99213Established patient office or other outpatient visit, 20-29 minutes5343$0
View full utilization report →

Insurance plans in this area (ZIP 80230)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

How do payers reference BRADLEY GRANT CHANGSTROM (M.D.)?
For BRADLEY GRANT CHANGSTROM (M.D.), use NPI 1306136288 as the unique 10-digit identifier.
Active or inactive — what applies to BRADLEY GRANT CHANGSTROM (M.D.)?
You should see BRADLEY GRANT CHANGSTROM (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe BRADLEY GRANT CHANGSTROM (M.D.)'s focus?
For BRADLEY GRANT CHANGSTROM (M.D.), the primary taxonomy reads as Sports Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY GRANT CHANGSTROM (M.D.)?
Travel planning: use Denver, Colorado as the reference point for BRADLEY GRANT CHANGSTROM (M.D.), then confirm.
Does BRADLEY GRANT CHANGSTROM (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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