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

Intermountain Medical Group Denver, LLC

Organization Family Medicine Physician · NPI 1497367213

Intermountain Medical Group Denver, LLC is a Family Medicine Physician in Broomfield, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

12169 Sheridan Blvd
Broomfield, CO 80020-2459
Phone: (303) 603-9400
Fax: (303) 603-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Occupational Medicine Physician Taxonomy 2083X0100X

Record details

NPI number1497367213
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Broomfield Clinic; Broomfield Clinic Occupational Therapy; Broomfield Clinic Physical Therapy
NPI enumeratedAugust 21, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 6300, Broomfield, CO 80021-3422

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