CHEYENNE REGIONAL PHYSICIANS GROUP, LLC - NPI 1497412670

Q: What is Cheyenne Regional Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Cheyenne Regional Physicians Group, Llc NPPES

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

CHEYENNE REGIONAL PHYSICIANS GROUP, LLC (NPI 1497412670) is a healthcare organization registered as a family medicine in Cheyenne, Wyoming and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Brad White, Administrator Of Revenue, as its authorized official.

NPPES Registry Identity

NPI1497412670

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCHEYENNE REGIONAL PHYSICIANS GROUP, LLC

Location Address1950 BLUEGRASS CIR STE 200Cheyenne, WY 82009-7364

Mailing AddressPo Box 20970Cheyenne, WY 82003-7020 · (307) 778-2577 · Fax (307) 635-2131

Phone(307) 778-2577

Fax(307) 635-2131

Organization SubpartNo

Authorized OfficialBrad WhiteAdministrator Of Revenue · (307) 633-6198

Enumeration DateNovember 22, 2021

Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1497412670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1950 BLUEGRASS CIR STE 200, Cheyenne, WY 82009

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Other Names 1

Other NameCheyenne Family Medicine

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0663216

Cheyenne Family Medicine · Cheyenne, WY

Active · expires Dec 7, 2027

CLIA Number53D0663216

Laboratory TypePhysician Office

Certificate Effective DateDecember 8, 2025

Certificate Expiration DateDecember 7, 2027

Laboratory DirectorJonathon Medina

Laboratory Phone(307) 778-2577

Laboratory LocationCheyenne Family Medicine1950 Bluegrass Circle, Suite 200, Cheyenne, WY 82009

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Family Medicine