Bender Medical Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BENDER MEDICAL GROUP

Practice address

4674 Snow Mesa Dr Ste 140
Fort Collins, CO 80528-8614

Phone

(970) 252-5000

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Julie M Desaire

Title

Chief Business Development Officer

Phone

(970) 252-5107

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1093388266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24667 SLATER MILL RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365260199",
            "telephone_number": "970-452-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 SNOW MESA DR STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288614",
            "telephone_number": "970-252-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "DESAIRE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF BUSINESS DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "970-252-5107"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Beltran
• Madison Belus, LPCC
• Elizabeth Eva Belzil, MS, MFTC
• Adina Jospehine Benavidez
• Bonnie Bend, MT
• Bender Medical Group (Miramont Family Medicine)
• Bender Medical Group (Miramont Family Medicine)
• Bender Medical Group (Miramont Family Medicine)
• Bender Medical Group (Miramont Family Medicine)
• Bender Medical Group Inc (Miramont Family Medicine)

• Family Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.