1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Clinic Center
  6. NPI Profile

BANNER HEALTH PHYSICIANS COLORADO LLC
NPI 1730526096
Clinic/Center - Multi-Specialty in Fort Collins, CO

Active since May 28, 2013CLIA 06D2061176 · Waiver
702A W DRAKE RD, FORT COLLINS, CO 80526(970) 229-4600(970) 229-4699 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 8, 2022 (2 updates tracked since 2022).

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 1730526096) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730526096
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH PHYSICIANS COLORADO LLC
Location Address702A W DRAKE RDFort Collins, CO 80526-5521
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 229-4600
Fax(970) 229-4699
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 28, 2013
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1730526096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
702A W DRAKE RD, Fort Collins, CO 80526
Open in Google Maps ↗

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 06D2061176

Banner Health Physicians Colorado, LLC · Fort Collins, CO
Active · expires Jun 23, 2027
CLIA Number06D2061176
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorDr. Grant M. Taylor
Laboratory Phone(970) 229-4600
Laboratory LocationBanner Health Physicians Colorado, LLC702-A W Drake Rd, Fort Collins, CO 80526
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 8

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

HAILEY JOHNSON
Physician Assistant
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (720) 563-1724
KIRK A KINDSFATER MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 810-0255
MR. NATHAN R HAWKINS PA.C
Physician Assistant (Surgical)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 810-0255
MR. BRAYDEN TAYLOR SMITH RDN
Dietitian, Registered
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 821-4600
KATHLEEN BROUGHTON RD, LD
Dietitian, Registered
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 821-4600
DR. KIRSTEN STOREY DO
Internal Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 229-4600
DR. BENJAMIN JAMES HARRIS KOBER DO
Family Medicine
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 821-4600
NEW BELGIUM BREWING COMPANY, INC.
Clinic/Center (Primary Care)
702A W DRAKE RD
FORT COLLINS, CO 80526
Larimer County (970) 229-4653

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 1730526096. It was assigned to this organization in the NPPES registry on May 28, 2013.

Where is Banner Health Physicians Colorado LLC located?

Banner Health Physicians Colorado LLC is located at 702A W Drake Rd, Fort Collins, CO 80526. The listed phone number is (970) 229-4600.

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.

Does Banner Health Physicians Colorado LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2061176) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Health Physicians Colorado LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.