BANNER FORT COLLINS PCP LLC
NPI 1225828403
Clinic/Center - Primary Care in Fort Collins, CO

Active since May 09, 2025
2001 S SHIELDS ST BLDG 1, FORT COLLINS, CO 80526(970) 449-0352 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, May 9, 2025 (2 updates tracked since 2025).

About Banner Fort Collins Pcp Llc NPPES

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

BANNER FORT COLLINS PCP LLC (NPI 1225828403) is a healthcare organization registered as a primary care in Fort Collins, Colorado and active in the NPI registry since May 2025. The organization lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225828403
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER FORT COLLINS PCP LLC
Location Address2001 S SHIELDS ST BLDG 1Fort Collins, CO 80526-1827
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group Llc
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 9, 2025
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1225828403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2001 S SHIELDS ST BLDG 1, Fort Collins, CO 80526

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 Fort Collins Pcp LLC's NPI number?

The NPI number for Banner Fort Collins Pcp LLC is 1225828403. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Banner Fort Collins Pcp LLC located?

Banner Fort Collins Pcp LLC is located at 2001 S Shields St Bldg 1, Fort Collins, CO 80526. The listed phone number is (970) 449-0352.

What is Banner Fort Collins Pcp LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Banner Fort Collins Pcp LLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.