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: October 25, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Health Physicians Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

322

Medicare enrollment records show 322 clinicians reassign Medicare billing to Banner Health Physicians Colorado LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner60
Family Practice53
General Surgery27
Orthopedic Surgery27
Gastroenterology17
Obstetrics/Gynecology15
Cardiovascular Disease (Cardiology)13
Pediatric Medicine10
36 other specialties100

Nearest to this location (20)

See all 322
Family Practice
NPI 1710507892
2400 EDISON ST
Brush, CO 80723
(970) 842-6262
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1871576520
2400 EDISON ST
Brush, CO 80723
(970) 842-6256
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1346781846
2400 EDISON ST
Brush, CO 80723
(970) 842-6262
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1558658427
2400 EDISON ST
Brush, CO 80723
(970) 842-6223
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1932461506
2400 EDISEN ST.
Brush, CO 80723
(970) 842-6262
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1548798176
2400 EDISON ST
Brush, CO 80723
(970) 842-6262
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1073073060
909 E RAILROAD AVE
Fort Morgan, CO 80701
(970) 542-4700
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1750756896
931 LINCOLN ST
Fort Morgan, CO 80701
(970) 867-1843
✔ PECOS✔ Accepts Medicare7.8 mi
Certified Nurse Midwife (CNM)
NPI 1225580343
16795 MESA RD
Sterling, CO 80751
(970) 580-3404
✔ PECOS✔ Accepts Medicare32 mi
General Surgery
NPI 1427041391
1405 S 8TH AVE STE 101
Sterling, CO 80751
(970) 522-2264
✔ PECOS✔ Accepts Medicare33 mi
Cardiovascular Disease (Cardiology)
NPI 1700975570
1405 S 8TH AVE SUITE 104
Sterling, CO 80751
(970) 526-8181
✔ PECOS✔ Accepts Medicare33 mi
Orthopedic Surgery
NPI 1992046262
1405 S 8TH AVE STE 101
Sterling, CO 80751
(702) 524-4306
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1861841900
615 FAIRHURST ST
Sterling, CO 80751
(970) 521-3223
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1154558302
2930 11TH AVE
Evans, CO 80620
(970) 353-9403
✔ PECOS✔ Accepts Medicare56 mi
Clinical Social Worker
NPI 1477812964
928 12TH ST
Greeley, CO 80631
(970) 352-1056
✔ PECOS✔ Accepts Medicare56 mi
Cardiac Electrophysiology
NPI 1679541338
1800 15TH STREET SUITE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts Medicare57 mi
Hospitalist
NPI 1821484072
1800 15TH ST STE 310
Greeley, CO 80631
(970) 810-0900
✔ PECOS✔ Accepts Medicare57 mi
Neurosurgery
NPI 1962866780
1800 15TH ST STE 100B
Greeley, CO 80631
(970) 810-5996
✔ PECOS✔ Accepts Medicare57 mi
Thoracic Surgery
NPI 1659382653
1800 15TH ST STE 340
Greeley, CO 80631
(970) 810-4593
✔ PECOS57 mi
Vascular Surgery
NPI 1609237049
1800 15TH ST STE 220
Greeley, CO 80631
(970) 810-5612
✔ PECOS✔ Accepts Medicare57 mi
See all 322 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Banner Health Physicians Colorado LLC enrolled in Medicare?

Yes. Banner Health Physicians Colorado LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Health Physicians Colorado LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 322 clinicians in 44 Medicare specialties reassign their Medicare billing to Banner Health Physicians Colorado LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Family Practice (53) and General Surgery (27). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 19 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.