Banner Health Physicians Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BANNER HEALTH PHYSICIANS COLORADO LLC

Practice address

909 E Railroad Ave Ste 102
Fort Morgan, CO 80701-3301

Phone

(970) 542-4710

NPI assigned

May 2, 2012

Last updated

Apr 20, 2026By the provider in NPPES

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

Locations

Practitioners 5

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.

• Benjamin James Harris Kober, DO

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1811459720
  NPD
• Danielle Marshall, DO

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1992225551
  NPD
• Elizabeth L Sommerfeld, DO

  • Family Medicine Physician
  • Timnath, CO
  • NPI 1144740705
  NPD
• Sarah Grace Hurd Dozier, MSN BSN FNP-C RN CEN

  • Family Nurse Practitioner
  • West Chester, PA
  • NPI 1891403242
  NPD
• Nirav Y Patel, MD

  • Trauma Surgery Physician
  • Phoenix, AZ
  • NPI 1215939566
  NPD

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1861750325",
    "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": "909 E RAILROAD AVE STE 102",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013301",
            "telephone_number": "970-542-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH PHYSICIANS COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP COLORADO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asu Counseling LLC
• Asu Counseling LLC
• Charles James Avery, CAC III
• Brynn M Babey, OD
• Caleb Ball
• Banner Health Physicians Colorado LLC
• Sandra Barrett
• Stephen George Batuello, M.D.
• Michael Bauer, OTR/L
• Mallory Beck

• Multi-Specialty Clinic/Center in Fort Morgan, CO
• Providers in Fort Morgan, 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 20, 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.