NPIMap

Organization Active NPI

Bender Medical Group, Inc

  • Family Medicine Physician
  • Red Feather Lakes, CO
National Provider Identifier
1669773263
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45095 Issued in CO
Legal business name
BENDER MEDICAL GROUP, INC
Practice address
168 Main St
Red Feather Lakes, CO 80545
Phone
(970) 881-2885
Fax
(970) 881-3440
NPI assigned
Nov 12, 2010
Organization subpart
Yes
Parent organization
BENDER MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mrs. Teresa E Bender
Title
Practice Admin
Phone
(970) 482-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 45095 CO Primary

Addresses

Primary practice location

168 Main St
Red Feather Lakes, CO 80545

Mailing address

4674 Snow Mesa Dr
Ste 140
Fort Collins, CO 80528-8615
Phone (970) 482-0213

Other names 1

  • Miramont Family Medicine - Red Feather Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bender Medical Group Inc10 organizations share this tax ID, including this one
Part of
Bender Medical Group Inc

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1669773263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 SNOW MESA DR",
            "address_2": "STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288615",
            "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": "168 MAIN ST",
            "city": "RED FEATHER LAKES",
            "state": "CO",
            "postal_code": "80545",
            "telephone_number": "970-881-2885",
            "fax_number": "970-881-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENDER MEDICAL GROUP, INC",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "970-482-0213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "45095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramont Family Medicine - Red Feather",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Feather Lakes, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.