Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Banner Fort Collins Pcp LLC

Organization Multi-Specialty Clinic/Center · NPI 1013707207

Banner Fort Collins Pcp LLC is a Multi-Specialty Clinic/Center in Fort Collins, Colorado. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3519 Richmond Dr
Fort Collins, CO 80526-5995
Phone: (970) 449-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1013707207
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Shiva Birdi — Ceo · (602) 747-4000
NPI enumeratedMay 9, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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