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

Banner Hospital Based Physicians Colorado

Organization Plastic Surgery Physician · NPI 1891523338

Banner Hospital Based Physicians Colorado is a Plastic Surgery Physician in Greeley, Colorado. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1800 15th St Ste 130
Greeley, CO 80631-4595
Phone: (602) 747-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1891523338
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Shiva Birdi — Ceo Bmg · (602) 747-4000
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address1800 15th St Ste 130, Greeley, CO 80631-4595

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