Banner Health Physicians Colorado LLC

Organization Active NPI Multi-Specialty Clinic/Center · Sterling, CO

NPI 1487926903 · NPPES record last updated Apr 16, 2026

Key facts

NPI
1487926903
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BANNER HEALTH PHYSICIANS COLORADO LLC
Practice address
615 Fairhurst
Sterling, CO 80751-4523
Phone
(970) 522-0122
NPI assigned
Jan 30, 2012
Organization subpart
Yes
Parent organization (as reported)
BANNER MEDICAL GROUP COLORADO

Authorized official

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111219000237 CO Part B Supplier - Clinic/Group Practice 8921273038 Receives reassigned benefits from 380 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Loveland, CO; Yuma, CO; Sterling, CO; Timnath, CO; Wellington, CO; Windsor, CO; Wray, CO; Fort Collins, CO…

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

615 Fairhurst
Sterling, CO 80751-4523

Mailing address

2901 N Central Ave
Phoenix, AZ 85012-2700

Other providers in Sterling, CO

All providers in Sterling, CO · Multi-Specialty Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.