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BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1114204542
Clinic/Center - Multi-Specialty in Brush, CO

Active since November 14, 2011
2400 EDISON ST STE 102, BRUSH, CO 80723(970) 842-6262 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Jan 26, 2022, Feb 29, 2016 (3 updates tracked since 2016).

About Banner Health Physicians Colorado Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER HEALTH PHYSICIANS COLORADO LLC (NPI 1114204542) is a healthcare organization registered as a multi-specialty in Brush, Colorado and active in the NPI registry since November 2011. The organization lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114204542
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address2400 EDISON ST STE 102Brush, CO 80723-1640
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 842-6262
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateNovember 14, 2011
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1114204542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2400 EDISON ST STE 102, Brush, CO 80723
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Health Physicians Colorado LLC's NPI number?

The NPI number for Banner Health Physicians Colorado LLC is 1114204542. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 2400 Edison St Ste 102, Brush, CO 80723. The listed phone number is (970) 842-6262.

What is Banner Health Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.