Banner Health Physicians Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BANNER HEALTH PHYSICIANS COLORADO LLC

Practice address

2701 Madison Square Dr
Loveland, CO 80538-3386

Phone

(970) 820-6660

Fax

(970) 820-1099

NPI assigned

Jul 2, 2012

Last updated

May 31, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Shiva Birdi, MD

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Part of

Tiffany Weathers

Locations

Practitioners 2

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.

• Robert Jospeh Flores, M.A., LPC

  • Professional Counselor
  • Windsor, CO
  • NPI 1427410380
  NPD
• John D. Hopkins, DO

  • Family Medicine Physician
  • Eaton, CO
  • NPI 1871882837
  NPD

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1396009635",
    "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": "2701 MADISON SQUARE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383386",
            "telephone_number": "970-820-6660",
            "fax_number": "970-820-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "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",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC

• Multi-Specialty Clinic/Center in Loveland, CO
• Providers in Loveland, 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 May 31, 2023; 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.