Active NPI
Banner Health Physicians Colorado LLC
- Multi-Specialty Clinic/Center
- Greeley, CO
National Provider Identifier
1073899134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BANNER HEALTH PHYSICIANS COLORADO LLC
- Practice address
- 1800 15TH St Ste 210
Greeley, CO 80631-4563 - Phone
- (970) 810-5120
- NPI assigned
- Nov 2, 2011
- Last updated
- Jun 24, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER MEDICAL GROUP
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1800 15TH St Ste 210
Greeley, CO 80631-4563
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
4700 Lady Moon Dr Ste C1
Fort Collins, CO 80528-4426
Phone (970) 821-4500
Other practice location 2
4650 Signal Tree Dr Unit B200
Timnath, CO 80547-4911
Phone (970) 821-3830
Other practice location 3
4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone (970) 821-4000
Other practice location 4
4700 Lady Moon Dr Ste C2
Fort Collins, CO 80528-4426
Phone (970) 810-5996
Other practice location 5
4700 Lady Moon Dr Ste C3
Fort Collins, CO 80528-4426
Phone (970) 810-0255
Other practice location 6
500 Main St
Fort Morgan, CO 80701-2130
Phone (970) 542-0360
Other practice location 7
5451 E Harmony Rd Bldg 2
Timnath, CO 80547-2412
Phone (970) 821-3830
Other practice location 8
5623 19th St
Greeley, CO 80634-2901
Phone (970) 810-9011
Other practice location 9
5890 W 13th St Ste 101
Greeley, CO 80634-4821
Phone (970) 810-0020
Other practice location 10
5890 W 13th St Ste 104
Greeley, CO 80634-4821
Phone (970) 810-4475
Other practice location 11
5890 W 13th St Ste 106
Greeley, CO 80634-4821
Phone (970) 810-1000
Other practice location 12
909 E Railroad Ave Ste 102
Fort Morgan, CO 80701-3301
Phone (970) 542-4700
Other practice location 13
615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122
Other practice location 14
702 A W Drake Rd
Fort Collins, CO 80526-5556
Phone (970) 821-4600
Other practice location 15
7859 6th St
Mailing PO BOX 574
Wellington, CO 80549-0001
Phone (970) 821-3200
Other practice location 16
100 S Cherry Ave Unit 1
Eaton, CO 80615-8256
Phone (970) 454-3838
Other practice location 17
1017 W 7th St
Wray, CO 80758-1420
Phone (970) 332-2225
Other practice location 18
1230 14th St SW
Loveland, CO 80537-6324
Phone (970) 820-3999
Other practice location 19
1300 Main St
Windsor, CO 80550-5989
Phone (970) 686-5646
Other practice location 20
1000 W 8th Ave
Yuma, CO 80759-2641
Phone (970) 848-5405
Other practice location 21
1405 S 8th Ave Ste 101
Sterling, CO 80751-4563
Phone (970) 522-2264
Other practice location 22
1001 E Johnson St
Holyoke, CO 80734-1854
Phone (970) 854-2241
Other practice location 23
1405 S 8th Ave Ste 104
Sterling, CO 80751-4560
Phone (970) 526-8181
Other practice location 24
2001 70th Ave Ste 200
Greeley, CO 80634-4613
Phone (970) 810-3550
Other practice location 25
201 14th St
Wheatland, WY 82201-3201
Phone (307) 322-3636
Other practice location 26
2010 16th St Ste A
Greeley, CO 80631-5188
Phone (970) 810-4475
Other practice location 27
222 Johnstown Center Dr
Johnstown, CO 80534-9030
Phone (970) 587-4974
Other practice location 28
2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200
Other practice location 29
2400 Edison St Ste 102
Brush, CO 80723-1640
Phone (970) 842-6200
Other practice location 30
2410 W 16th St
Greeley, CO 80634-6004
Phone (970) 810-5612
Other practice location 31
2001 70th Ave Ste 221
Greeley, CO 80634-4613
Phone (970) 810-5454
Other practice location 32
2001 70th Ave Ste 300
Greeley, CO 80634-4632
Phone (970) 810-3550
Other practice location 33
1800 15th St Ste 100B
Greeley, CO 80631-4595
Phone (970) 810-5418
Other practice location 34
1800 15th St Ste 200
Greeley, CO 80631-4563
Phone (970) 810-8216
Other practice location 35
1800 15th St Ste 310
Greeley, CO 80631-4562
Phone (970) 810-0900
Other practice location 36
1800 15th St Ste 340
Greeley, CO 80631-4562
Phone (970) 810-4593
Other practice location 37
1405 S 8th Ave Ste 105
Sterling, CO 80751-4560
Phone (970) 526-8100
Other practice location 38
1800 15th St Ste 220
Greeley, CO 80631-4595
Phone (970) 810-5612
Other practice location 39
1801 16th St Ste C2B
Greeley, CO 80631-5154
Phone (970) 810-4121
Other practice location 40
1813 Cheyenne Ave
Loveland, CO 80538-4244
Phone (970) 810-4676
Other practice location 41
2701 Madison Square Dr
Loveland, CO 80538-3386
Phone (970) 820-6660
Other practice location 42
2923 Ginnala Dr
Loveland, CO 80538-2702
Phone (970) 820-5000
Other practice location 43
2555 E 13th St Ste 130
Loveland, CO 80537-5135
Phone (970) 820-5437
Other practice location 44
303 Colland Dr
Fort Collins, CO 80525-4205
Phone (970) 821-3031
Other practice location 45
2555 E 13th St Ste 105
Loveland, CO 80537-5134
Phone (970) 820-6300
Other practice location 46
2555 E 13th St Ste 230
Loveland, CO 80537-5133
Phone (970) 820-2475
Other practice location 47
401 10th St
Berthoud, CO 80513-1381
Phone (970) 532-4910
Other practice location 48
1900 Boise Ave Ste 200
Loveland, CO 80538-5004
Phone (970) 820-2400
Other practice location 49
1900 Boise Ave Ste 300
Loveland, CO 80538-5004
Phone (970) 820-2009
Other practice location 50
1900 Boise Ave Ste 410
Loveland, CO 80538-5004
Phone (970) 820-2610
Other practice location 51
2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640
Other practice location 52
2000 Campbell Dr
Torrington, WY 82240-1528
Phone (307) 532-4181
Other practice location 53
2001 70th Ave Ste 110
Greeley, CO 80634-4628
Phone (970) 810-6222
Other practice location 54
1900 Boise Ave Ste 420
Loveland, CO 80538-5004
Phone (970) 820-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111219000237 | CO | Part B Supplier - Clinic/Group Practice | 8921273038 |
Receives reassigned benefits from 380 practitioners Practice locations: Loveland, CO; Yuma, CO; Sterling, CO; Timnath, CO; Wellington, CO; Windsor, CO; Wray, CO; Fort Collins, CO… |
| O20131003000065 | WY | Part B Supplier - Clinic/Group Practice | 8921273038 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Torrington, WY; Wheatland, WY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
O20131003000065
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2061176 | Banner Health Physicians Colorado, LLC | Certificate of waiver | Jun 23, 2027 |
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.
Locations
1800 15th St
Ste 210
Greeley, CO 80631
Phone (970) 352-8216
2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 527-1122
5890 W 13th St
Ste 104
Greeley, CO 80634
Phone (970) 330-9729
1900 Boise Ave
Ste 220
Loveland, CO 80538
Phone (970) 203-2120
2701 Madison Square Dr
Loveland, CO 80538
Phone (970) 663-0722
Practitioners & affiliated clinicians
Practitioners 402
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.
-
- Surgery Physician
- Fort Carson, CO
- NPI 1790729473
-
- Surgical Physician Assistant
- Loveland, CO
- NPI 1578873154
-
- Physician Assistant
- Golden, CO
- NPI 1073212890
-
- Professional Counselor
- Fort Collins, CO
- NPI 1588793889
-
- Neurological Surgery Physician
- Englewood, CO
- NPI 1457662314
-
- Physician Assistant
- Fort Collins, CO
- NPI 1255907382
-
- Family Nurse Practitioner
- Windsor, CO
- NPI 1770256406
-
- Orthopaedic Surgery Physician
- Greeley, CO
- NPI 1174186969
-
- Foot Surgery Podiatrist
- Greeley, CO
- NPI 1770595514
-
- Physician Assistant
- Loveland, CO
- NPI 1962026351
-
- Nurse Practitioner
- Fort Collins, CO
- NPI 1831901008
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Boulder, CO
- NPI 1376747444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1073899134",
"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": "1800 15TH ST STE 210",
"city": "GREELEY",
"state": "CO",
"postal_code": "806314563",
"telephone_number": "970-810-5120"
}
],
"practiceLocations": [
{
"address_1": "4700 Lady Moon Dr Ste C1",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805284426",
"country_code": "US",
"telephone_number": "970-821-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4650 Signal Tree Dr Unit B200",
"address_purpose": "LOCATION",
"city": "Timnath",
"state": "CO",
"postal_code": "805474911",
"country_code": "US",
"telephone_number": "970-821-3830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Lady Moon Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805284426",
"country_code": "US",
"telephone_number": "970-821-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Lady Moon Dr Ste C2",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805284426",
"country_code": "US",
"telephone_number": "970-810-5996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Lady Moon Dr Ste C3",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805284426",
"country_code": "US",
"telephone_number": "970-810-0255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Main St",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807012130",
"country_code": "US",
"telephone_number": "970-542-0360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5451 E Harmony Rd Bldg 2",
"address_purpose": "LOCATION",
"city": "Timnath",
"state": "CO",
"postal_code": "805472412",
"country_code": "US",
"telephone_number": "970-821-3830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5623 19th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806342901",
"country_code": "US",
"telephone_number": "970-810-9011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5890 W 13th St Ste 101",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344821",
"country_code": "US",
"telephone_number": "970-810-0020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5890 W 13th St Ste 104",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344821",
"country_code": "US",
"telephone_number": "970-810-4475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5890 W 13th St Ste 106",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344821",
"country_code": "US",
"telephone_number": "970-810-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 E Railroad Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807013301",
"country_code": "US",
"telephone_number": "970-542-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Fairhurst St",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514523",
"country_code": "US",
"telephone_number": "970-522-0122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 A W Drake Rd",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805265556",
"country_code": "US",
"telephone_number": "970-821-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7859 6th St",
"address_2": "Mailing PO BOX 574",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "CO",
"postal_code": "805490001",
"country_code": "US",
"telephone_number": "970-821-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S Cherry Ave Unit 1",
"address_purpose": "LOCATION",
"city": "Eaton",
"state": "CO",
"postal_code": "806158256",
"country_code": "US",
"telephone_number": "970-454-3838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1017 W 7th St",
"address_purpose": "LOCATION",
"city": "Wray",
"state": "CO",
"postal_code": "807581420",
"country_code": "US",
"telephone_number": "970-332-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 14th St SW",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805376324",
"country_code": "US",
"telephone_number": "970-820-3999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Main St",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CO",
"postal_code": "805505989",
"country_code": "US",
"telephone_number": "970-686-5646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "CO",
"postal_code": "807592641",
"country_code": "US",
"telephone_number": "970-848-5405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S 8th Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514563",
"country_code": "US",
"telephone_number": "970-522-2264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 E Johnson St",
"address_purpose": "LOCATION",
"city": "Holyoke",
"state": "CO",
"postal_code": "807341854",
"country_code": "US",
"telephone_number": "970-854-2241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S 8th Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514560",
"country_code": "US",
"telephone_number": "970-526-8181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 70th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344613",
"country_code": "US",
"telephone_number": "970-810-3550",
"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": "2010 16th St Ste A",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806315188",
"country_code": "US",
"telephone_number": "970-810-4475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Johnstown Center Dr",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "CO",
"postal_code": "805349030",
"country_code": "US",
"telephone_number": "970-587-4974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Edison St",
"address_purpose": "LOCATION",
"city": "Brush",
"state": "CO",
"postal_code": "807231640",
"country_code": "US",
"telephone_number": "970-842-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Edison St Ste 102",
"address_purpose": "LOCATION",
"city": "Brush",
"state": "CO",
"postal_code": "807231640",
"country_code": "US",
"telephone_number": "970-842-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2410 W 16th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806346004",
"country_code": "US",
"telephone_number": "970-810-5612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 70th Ave Ste 221",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344613",
"country_code": "US",
"telephone_number": "970-810-5454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 70th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344632",
"country_code": "US",
"telephone_number": "970-810-3550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 15th St Ste 100B",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806314595",
"country_code": "US",
"telephone_number": "970-810-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 15th St Ste 200",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806314563",
"country_code": "US",
"telephone_number": "970-810-8216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 15th St Ste 310",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806314562",
"country_code": "US",
"telephone_number": "970-810-0900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 15th St Ste 340",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806314562",
"country_code": "US",
"telephone_number": "970-810-4593",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S 8th Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514560",
"country_code": "US",
"telephone_number": "970-526-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 15th St Ste 220",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806314595",
"country_code": "US",
"telephone_number": "970-810-5612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 16th St Ste C2B",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806315154",
"country_code": "US",
"telephone_number": "970-810-4121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1813 Cheyenne Ave",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805384244",
"country_code": "US",
"telephone_number": "970-810-4676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 Madison Square Dr",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805383386",
"country_code": "US",
"telephone_number": "970-820-6660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2923 Ginnala Dr",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805382702",
"country_code": "US",
"telephone_number": "970-820-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2555 E 13th St Ste 130",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805375135",
"country_code": "US",
"telephone_number": "970-820-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Colland Dr",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805254205",
"country_code": "US",
"telephone_number": "970-821-3031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2555 E 13th St Ste 105",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805375134",
"country_code": "US",
"telephone_number": "970-820-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2555 E 13th St Ste 230",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805375133",
"country_code": "US",
"telephone_number": "970-820-2475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 10th St",
"address_purpose": "LOCATION",
"city": "Berthoud",
"state": "CO",
"postal_code": "805131381",
"country_code": "US",
"telephone_number": "970-532-4910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Boise Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385004",
"country_code": "US",
"telephone_number": "970-820-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Boise Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385004",
"country_code": "US",
"telephone_number": "970-820-2009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Boise Ave Ste 410",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385004",
"country_code": "US",
"telephone_number": "970-820-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Boise Ave",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385006",
"country_code": "US",
"telephone_number": "970-820-4640",
"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": "2001 70th Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806344628",
"country_code": "US",
"telephone_number": "970-810-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Boise Ave Ste 420",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805385004",
"country_code": "US",
"telephone_number": "970-820-3212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
"enumeration_date": "2011-11-02",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"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": []
}Other providers in Greeley, CO
- Banner Health
- Banner Health (Banner Hospice of Northern Colorado)
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
- Banner Health Physicians Colorado LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.