Banner Occupational Health Colorado LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

BANNER OCCUPATIONAL HEALTH COLORADO LLC

Practice address

1517 16TH Avenue CT
Greeley, CO 80631-4574

Phone

(970) 350-6810

NPI assigned

Oct 9, 2012

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUP COLORADOAs reported in NPPES

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

Authorized official

Name

Patrick Penrose

Title

VP

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1669724134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 16TH AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314574",
            "telephone_number": "970-350-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 S College Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253009",
            "country_code": "US",
            "telephone_number": "970-821-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343911",
            "country_code": "US",
            "telephone_number": "970-810-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 E 18th St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384283",
            "country_code": "US",
            "telephone_number": "970-820-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER OCCUPATIONAL HEALTH COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "PENROSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Medical Group Greeley LLC
• Banner Mountain Vista Orthopaedic Medical Clinic
• Banner Mountain Vista Orthopaedic Medical Clinic
• Banner Northern Colorado Imaging, LLC
• Banner Occupational Health
• Banner Oncology Services
• Banner Oncology Services
• Banner Sleep Centers Colorado LLC
• Banner Urgent Care Colorado
• Kerri Barberio, DDS

• Occupational Medicine Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Occupational Medicine Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.