BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC – NPI #1386034122
Clinic/Center

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC is an AHC clinic located in FORT COLLINS, CO. NPPES has assigned the NPI number 1386034122 to BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC on February 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 3 years ago on Apr 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC below.

NPI Profile for
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC

NPI Number
1386034122
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Primary location
4700 LADY MOON DR
FORT COLLINS, CO 80528-4426
Phone: (970) 229-4500 Fax: (970) 229-4501
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC is subpart of another organization.
Authorized Official
SHIVA BIRDI
BMG CEO
Phone: (480) 256-3336
Updated
Certification Date
Apr 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.