Banner Health Physicians Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BANNER HEALTH PHYSICIANS COLORADO LLC

Practice address

5623 W 19TH St
Greeley, CO 80634-2901

Phone

(970) 353-9011

Fax

(970) 353-0306

NPI assigned

Jul 2, 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

Shiva Birdi

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Irene Konda-Sundheim, M.D.

  • Pediatrics Physician
  • Loveland, CO
  • NPI 1801994421
  NPD
• Angela Serrano, FNP

  • Family Nurse Practitioner
  • Johnstown, CO
  • NPI 1013624667
  NPD
• David Stephen Snodgrass, MD

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1205834983
  NPD
• Christopher John Corkins, M.D.

  • Surgery Physician
  • San Antonio, TX
  • NPI 1760809123
  NPD

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1750645099",
    "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": "5623 W 19TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342901",
            "telephone_number": "970-353-9011",
            "fax_number": "970-353-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Health Physicians Colorado LLC
• Banner Home Care Colorado

• Multi-Specialty Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Multi-Specialty 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.