BANNER HEALTH PHYSICIANS WEST LLC
NPI 1063778728
Clinic/Center - Multi-Specialty in Casper, WY

NPI Status: Active since April 06, 2012

Contact Information

1020 E 2ND ST STE 201
CASPER, WY
ZIP 82601
Phone: (307) 233-0250

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance
  • CLIA Number: 53D2099145
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-27-2027

About BANNER HEALTH PHYSICIANS WEST LLC

This page provides the complete NPI Profile along with additional information for Banner Health Physicians West Llc, a provider established in Casper, Wyoming operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1063778728 assigned on April 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Shiva Birdi (Ceo Bmg)

NPI
1063778728
Provider Name
BANNER HEALTH PHYSICIANS WEST LLC
Entity Type
Organization
Location Address
1020 E 2ND ST STE 201 CASPER, WY 82601
Location Phone
(307) 233-0250
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2012
Last Update Date
04-13-2026
Code Navigator

Location Map

Secondary Locations

  • 1405 Howell Ave
    Worland, WY 82401
    (307) 347-2555
  • 1950 S Beverly St
    Casper, WY 82609
    (307) 224-9843
  • 2000 Campbell Dr
    Torrington, WY 82240
    (307) 532-4181
  • 4041 S Poplar St
    Casper, WY 82601
    (307) 266-0000
  • 419 S Washington St Ste 102
    Casper, WY 82601
    (307) 577-2592
  • 419 S Washington St Ste 201A
    Casper, WY 82601
    (307) 237-5047
  • 419 S Washington St Ste 201B
    Casper, WY 82601
    (307) 577-0477
  • 419 S Washington St Ste 201C
    Casper, WY 82601
    (307) 577-2592
  • 419 S Washington St Ste 201D
    Casper, WY 82601
    (307) 233-0286
  • 4305 S Poplar St
    Casper, WY 82601
    (800) 304-7152
  • 60 Magnolia St
    Casper, WY 82604
    (307) 234-9381
  • 6550 E 2nd St
    Casper, WY 82609
    (307) 995-8100
  • 6600 E 2nd St Ste C
    Casper, WY 82609
    (307) 473-6768
  • 6600 E 2nd St Ste D
    Casper, WY 82609
    (307) 473-6768
  • 777 Avenue H
    Powell, WY 82435
    (307) 347-5810
  • 8195 State Highway 789
    Lander, WY 82520
    (307) 237-5047
  • 3632 American Way Ste A
    Casper, WY 82604
    (307) 234-6765
  • 1141 Wilkins Cir
    Casper, WY 82601
    (307) 472-3700
  • 1115 Lane 12
    Lovell, WY 82431
    (307) 347-2555
  • 1106 Big Horn Ave
    Worland, WY 82401
    (307) 347-8801
  • 110 N 2nd St
    Douglas, WY 82633
    (307) 237-5047
  • 1020 S Conwell St
    Casper, WY 82601
    (307) 265-8300
  • 1230 E 1st St
    Casper, WY 82601
    (307) 233-0250
  • 400 S 15th St Ste 101
    Worland, WY 82401
    (307) 347-3221
  • 255 N 30th St
    Laramie, WY 82072
    (307) 237-5047
  • 2300 Gasser Rd
    Riverton, WY 82501
    (307) 266-4000
  • 3632 American Way Ste B
    Casper, WY 82604
    (307) 233-7300
  • 3955 E 12th St
    Casper, WY 82609
    (307) 577-3045
  • 201 14th St
    Wheatland, WY 82201
    (307) 322-3636

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHIVA BIRDI

Authorized Official Title
CEO BMG
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D2099145
Facility Type
Physician Office
Certificate Effective Date
September 28, 2025
Certificate Expiration Date
September 27, 2027
Laboratory Director
ANGELA L. BOOTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Banner Health Physicians West Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063778728, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 4 + 7 + 1 + 6 + 7 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063778728.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
1020 E 2ND ST STE 201
CASPER, WY 82601
Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601
Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063778728, enumerated as an "organization" on April 06, 2012.

The provider is located at 1020 E 2ND ST STE 201 CASPER, WY 82601 and the phone number is (307) 233-0250.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.