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

Banner Hospital Based Physicians Colorado LLC

Organization Multi-Specialty Clinic/Center · NPI 1386034122

Banner Hospital Based Physicians Colorado LLC is a Multi-Specialty Clinic/Center in Fort Collins, Colorado. Registered with an NPI since 2015.

In the registry since
2015
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

4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone: (970) 229-4500
Fax: (970) 229-4501
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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

Record details

NPI number1386034122
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Medical Group Colorado
Authorized official Shiva Birdi — Bmg Ceo · (480) 256-3336
NPI enumeratedFebruary 2, 2015
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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