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BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
NPI 1386034122
Clinic/Center - Multi-Specialty in Fort Collins, CO

Active since February 02, 2015
4700 LADY MOON DR, FORT COLLINS, CO 80528(970) 229-4500(970) 229-4501 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banner Hospital Based Physicians Colorado Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI 1386034122) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since February 2015. The organization lists Shiva Birdi, Bmg Ceo, as its authorized official.

NPPES Registry Identity

NPI1386034122
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Location Address4700 LADY MOON DRFort Collins, CO 80528-4426
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 229-4500
Fax(970) 229-4501
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiBmg Ceo · (480) 256-3336
Enumeration DateFebruary 2, 2015
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1386034122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4700 LADY MOON DR, Fort Collins, CO 80528
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANNER HEALTH PHYSICIANS COLORADO LLC
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
DR. KYMBERLEE ROYALS M.D.
Anesthesiology
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 420-0905
BANNER HEALTH
Ambulance
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
DR. NICOLE BLYTHE MOORE RIEGER M.D.
Surgery
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
BANNER ANESTHESIOLOGISTS COLORADO LLC
Clinic/Center (Multi-Specialty)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 350-6399
DAVID JAMES LEVESQUE CRNA
Nurse Anesthetist, Certified Registered
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4500
KRISTINA KINNEY CPNP
Nurse Practitioner (Pediatrics)
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000
BOBBI J CHAMBERS MD
Pediatrics
4700 LADY MOON DR
FORT COLLINS, CO 80528
Larimer County (970) 821-4000

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 Hospital Based Physicians Colorado LLC's NPI number?

The NPI number for Banner Hospital Based Physicians Colorado LLC is 1386034122. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Banner Hospital Based Physicians Colorado LLC located?

Banner Hospital Based Physicians Colorado LLC is located at 4700 Lady Moon Dr, Fort Collins, CO 80528. The listed phone number is (970) 229-4500.

What is Banner Hospital Based 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 Hospital Based Physicians Colorado LLC was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.