Banner Health Physicians Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BANNER HEALTH PHYSICIANS COLORADO LLC

Practice address

222 Johnstown Center Dr
Johnstown, CO 80534-9030

Phone

(970) 587-4974

NPI assigned

May 30, 2012

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUP COLORADOAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shiva Birdi

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Joseph Williams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor, CO
  • NPI 1134874456
  NPD
• Adam Lee Fieber, CRNA

  • Certified Registered Nurse Anesthetist
  • Powell, WY
  • NPI 1093243784
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1033470737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JOHNSTOWN CENTER DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349030",
            "telephone_number": "970-587-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaella Arnett
• Revelyn Gilok Arrogante, M.D.
• Articella, Inc.
• Babble Builders Therapy Solutions LLC
• Ariana Bagley
• Banner Medical Group Greeley LLC
• Sarah Kay Barksdale, MD
• Madeline Bates, LCSW
• Bauer Occupational Therapy, LLC
• Bauer Stuttering & Speech Therapy, LLC

• Multi-Specialty Clinic/Center in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.