NPIMap

Organization Active NPI

Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
National Provider Identifier
1063778728
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BANNER HEALTH PHYSICIANS WEST LLC
Practice address
1020 E 2ND St Ste 201
Casper, WY 82601-2955
Phone
(307) 233-0250
NPI assigned
Apr 6, 2012
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Shiva Birdi
Title
Ceo BMG
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1020 E 2ND St Ste 201
Casper, WY 82601-2955

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

3632 American Way Ste A
Casper, WY 82604-3164
Phone (307) 234-6765

Other practice location 2

3632 American Way Ste B
Casper, WY 82604-3164
Phone (307) 233-7300

Other practice location 3

3955 E 12th St
Casper, WY 82609-3114
Phone (307) 577-3045

Other practice location 4

201 14th St
Wheatland, WY 82201-3201
Phone (307) 322-3636

Other practice location 5

2300 Gasser Rd
Riverton, WY 82501-2204
Phone (307) 266-4000

Other practice location 6

255 N 30th St
Laramie, WY 82072-5140
Phone (307) 237-5047

Other practice location 7

1230 E 1st St
Casper, WY 82601-2704
Phone (307) 233-0250

Other practice location 8

1141 Wilkins Cir
Casper, WY 82601-1332
Phone (307) 472-3700

Other practice location 9

1115 Lane 12
Lovell, WY 82431-9537
Phone (307) 347-2555

Other practice location 10

1106 Big Horn Ave
Worland, WY 82401-2803
Phone (307) 347-8801

Other practice location 11

110 N 2nd St
Douglas, WY 82633-2127
Phone (307) 237-5047

Other practice location 12

1020 S Conwell St
Casper, WY 82601-3921
Phone (307) 265-8300

Other practice location 13

1405 Howell Ave
Worland, WY 82401-4127
Phone (307) 347-2555

Other practice location 14

8195 State Highway 789
Lander, WY 82520-2942
Phone (307) 237-5047

Other practice location 15

1950 S Beverly St
Casper, WY 82609-3348
Phone (307) 224-9843

Other practice location 16

400 S 15th St Ste 101
Worland, WY 82401-3531
Phone (307) 347-3221

Other practice location 17

2000 Campbell Dr
Torrington, WY 82240-1528
Phone (307) 532-4181

Other practice location 18

4041 S Poplar St
Casper, WY 82601-5928
Phone (307) 266-0000

Other practice location 19

419 S Washington St Ste 102
Casper, WY 82601-2951
Phone (307) 577-2592

Other practice location 20

419 S Washington St Ste 201A
Casper, WY 82601-2951
Phone (307) 237-5047

Other practice location 21

419 S Washington St Ste 201B
Casper, WY 82601-2951
Phone (307) 577-0477

Other practice location 22

419 S Washington St Ste 201C
Casper, WY 82601-2951
Phone (307) 577-2592

Other practice location 23

419 S Washington St Ste 201D
Casper, WY 82601-2951
Phone (307) 233-0286

Other practice location 24

4305 S Poplar St
Casper, WY 82601-6106
Phone (800) 304-7152

Other practice location 25

60 Magnolia St
Casper, WY 82604-4035
Phone (307) 234-9381

Other practice location 26

6550 E 2nd St
Casper, WY 82609-4321
Phone (307) 995-8100

Other practice location 27

6600 E 2nd St Ste C
Casper, WY 82609-4348
Phone (307) 473-6768

Other practice location 28

6600 E 2nd St Ste D
Casper, WY 82609-4348
Phone (307) 473-6768

Other practice location 29

777 Avenue H
Powell, WY 82435-2260
Phone (307) 347-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120607000123 WY Part B Supplier - Clinic/Group Practice 5092978866 Receives reassigned benefits from 136 practitioners
Practice locations: Casper, WY; Douglas, WY; Lander, WY; Laramie, WY; Lovell, WY; Powell, WY; Riverton, WY; Torrington, WY…

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D0925425Banner Health Physicians West LLC1020 S Conwell, Casper, WY 82601Certificate of waiverSep 27, 2027
53D1026465Banner Health Physicians West LLC1405 Howell Ave, Worland, WY 82401Provider-performed microscopySep 15, 2026
53D2039661Banner Health Physicians West LLC6600 E 2ND Street, Casper, WY 82609Provider-performed microscopyMar 25, 2028
53D2099145Banner Health Physicians West LLC3632 American Way, Casper, WY 82604Certificate of waiverSep 27, 2027
53D2198018Banner Health Physicians West LLC400 S 15TH St, Ste 101, Worland, WY 82401Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory
Part of
Tiffany Weathers

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    Member Of

    NPD member

Locations

1020 E 2nd St
Ste 201
Casper, WY 82601
Phone (307) 233-0250

1230 E 1st St
Casper, WY 82601
Phone (307) 266-3174

419 S Washington St
Ste 201A
Casper, WY 82601
Phone (307) 237-5047

419 S Washington St
Ste 201B
Casper, WY 82601
Phone (307) 237-6047

6600 E 2nd St
Ste C
Casper, WY 82609
Phone (307) 473-6768

6600 E 2nd St
Ste D
Casper, WY 82609
Phone (307) 473-6768

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

400 S 15th St
Ste 101
Worland, WY 82401
Phone (307) 347-3221

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1063778728",
    "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": "1020 E 2ND ST STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012955",
            "telephone_number": "307-233-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3632 American Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826043164",
            "country_code": "US",
            "telephone_number": "307-234-6765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3632 American Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826043164",
            "country_code": "US",
            "telephone_number": "307-233-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3955 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826093114",
            "country_code": "US",
            "telephone_number": "307-577-3045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 14th St",
            "address_purpose": "LOCATION",
            "city": "Wheatland",
            "state": "WY",
            "postal_code": "822013201",
            "country_code": "US",
            "telephone_number": "307-322-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Gasser Rd",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012204",
            "country_code": "US",
            "telephone_number": "307-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820725140",
            "country_code": "US",
            "telephone_number": "307-237-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012704",
            "country_code": "US",
            "telephone_number": "307-233-0250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 Wilkins Cir",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826011332",
            "country_code": "US",
            "telephone_number": "307-472-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Lane 12",
            "address_purpose": "LOCATION",
            "city": "Lovell",
            "state": "WY",
            "postal_code": "824319537",
            "country_code": "US",
            "telephone_number": "307-347-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Big Horn Ave",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824012803",
            "country_code": "US",
            "telephone_number": "307-347-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826332127",
            "country_code": "US",
            "telephone_number": "307-237-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 S Conwell St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826013921",
            "country_code": "US",
            "telephone_number": "307-265-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Howell Ave",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824014127",
            "country_code": "US",
            "telephone_number": "307-347-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8195 State Highway 789",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825202942",
            "country_code": "US",
            "telephone_number": "307-237-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Beverly St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826093348",
            "country_code": "US",
            "telephone_number": "307-224-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 15th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Worland",
            "state": "WY",
            "postal_code": "824013531",
            "country_code": "US",
            "telephone_number": "307-347-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Campbell Dr",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "WY",
            "postal_code": "822401528",
            "country_code": "US",
            "telephone_number": "307-532-4181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4041 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826015928",
            "country_code": "US",
            "telephone_number": "307-266-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Washington St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-577-2592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Washington St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-237-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Washington St Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-577-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Washington St Ste 201C",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-577-2592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Washington St Ste 201D",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-233-0286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4305 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826016106",
            "country_code": "US",
            "telephone_number": "800-304-7152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826044035",
            "country_code": "US",
            "telephone_number": "307-234-9381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094321",
            "country_code": "US",
            "telephone_number": "307-995-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 E 2nd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094348",
            "country_code": "US",
            "telephone_number": "307-473-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 E 2nd St Ste D",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094348",
            "country_code": "US",
            "telephone_number": "307-473-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Avenue H",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352260",
            "country_code": "US",
            "telephone_number": "307-347-5810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2012-04-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO BMG",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.