NPIMap

Organization Active NPI

Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Torrington, WY
National Provider Identifier
1215375688
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BANNER HEALTH PHYSICIANS COLORADO LLC
Practice address
2000 Campbell Dr
Torrington, WY 82240-1528
Phone
(970) 392-0900
Fax
(970) 506-3796
NPI assigned
Jun 7, 2013
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER MEDICAL GROUP COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2000 Campbell Dr
Torrington, WY 82240-1528

Mailing address

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

Other practice location 1

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131003000065 WY Part B Supplier - Clinic/Group Practice 8921273038 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the 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.

National Provider Directory

National Provider Directory
Tax ID family
Banner Health Physicians47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

4700 Lady Moon Dr
Ste C3
Fort Collins, CO 80528
Phone (970) 810-0255

1800 15th St
Ste 220
Greeley, CO 80631
Phone (970) 353-1335

1800 15th St
Ste B
Greeley, CO 80631
Phone (970) 810-4676

6801 W 20th St
Unit 201
Greeley, CO 80634
Phone (970) 330-1090

710 11th Ave
Ste 106
Greeley, CO 80631
Phone (970) 352-6353

1900 Boise Ave
Ste 210
Loveland, CO 80538
Phone (303) 669-3212

1900 Boise Ave
Ste 300
Loveland, CO 80538
Phone (970) 667-2009

2923 Ginnala Dr
Loveland, CO 80538
Phone (970) 669-6660

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

Practitioners & affiliated clinicians

Practitioners 348

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 348

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1215375688",
    "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": "2000 CAMPBELL DR",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401528",
            "telephone_number": "970-392-0900",
            "fax_number": "970-506-3796"
        }
    ],
    "practiceLocations": [
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "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 Torrington, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.