Banner Health Physicians Colorado LLC

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

NPI 1740089127 · NPPES record last updated Mar 10, 2025

Key facts

NPI
1740089127
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BANNER HEALTH PHYSICIANS COLORADO LLC
Practice address
2400 Edison St
Brush, CO 80723-1640
Phone
(970) 842-6200
Fax
(970) 842-3572
NPI assigned
Mar 10, 2025
Organization subpart
Yes
Parent organization (as reported)
BANNER HEALTH

Authorized official

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

Corporate family (same tax ID) 45

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

View all 45

National Provider Directory

Tax ID family
Banner Health Physicians (46 organizations share this tax ID)
Part of
M E Lee MD

Specialties & licenses

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

Addresses

Primary practice location

2400 Edison St
Brush, CO 80723-1640

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Other providers in Brush, CO

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

Sources for this page

Verify at the official NPI Registry.