NPIMap

Individual provider Active NPI

John Lumir Bender, M.D.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1609864065
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32679 Issued in CO
Practice address
4674 Snow Mesa Dr
Suite 140
Fort Collins, CO 80528-8615
Phone
(970) 482-0213
Fax
(970) 482-9646
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32679 CO Primary

Addresses

Primary practice location

4674 Snow Mesa Dr
Suite 140
Fort Collins, CO 80528-8615

Mailing address

3850 Grant Ave
Suite 100
Loveland, CO 80538-8431
Phone (970) 482-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000220 CO Practitioner - Family Practice 6002705373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bender Medical Group IncGroup PAC ID 6204725575, 7 clinicians

Practice addresses (Care Compare)

313 W Drake Rd
Suite 100
Fort Collins, CO 80526-2866
Phone (970) 482-8881

4674 Snow Mesa Dr
Suite 140
Fort Collins, CO 80528-8614
Phone (970) 225-5107

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Loveland, CO, CCN 067506
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions62
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22719AZMDCounselor
32679COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bender Medical Group Inc Family Medicine CurrentSince Mar 1, 2002 Accepting new patients
Boulder Community Health Past Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients
Trinidad Area Health Association Family Medicine Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

4674 Snow Mesa Dr
Ste 140
Fort Collins, CO 80528
Phone (970) 225-5000

313 W Drake Rd
Ste 100
Fort Collins, CO 80526
Phone (970) 225-5028

3850 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 669-5717

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1609864065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 GRANT AVE",
            "address_2": "SUITE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388431",
            "telephone_number": "970-482-0213",
            "fax_number": "970-482-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 SNOW MESA DR",
            "address_2": "SUITE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288615",
            "telephone_number": "970-482-0213",
            "fax_number": "970-482-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JOHN",
        "middle_name": "LUMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.