NPIMap

Organization Active NPI

Cheyenne Regional Physicians Group, LLC

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1497412670
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Practice address
1950 Bluegrass Cir Ste 200
Cheyenne, WY 82009-7364
Phone
(307) 778-2577
Fax
(307) 635-2131
NPI assigned
Nov 22, 2021
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Brad White
Title
Administrator of Revenue
Phone
(307) 633-6198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

1950 Bluegrass Cir Ste 200
Cheyenne, WY 82009-7364

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 778-2577

Other names 1

  • Cheyenne Family Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Umc Multi Specialty Physicians Group17 organizations share this tax ID, including this one
Part of
Umc Multi Specialty Physicians Group

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1497412670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-778-2577",
            "fax_number": "307-635-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEGRASS CIR STE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097364",
            "telephone_number": "307-778-2577",
            "fax_number": "307-635-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE REGIONAL PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "ADMINISTRATOR OF REVENUE",
        "authorized_official_telephone_number": "307-633-6198"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.