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

Poudre Valley Medical Group, LLC

Organization Neurological Surgery Physician · NPI 1164023313

Poudre Valley Medical Group, LLC is a Neurological Surgery Physician in Fort Collins, 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

1107 S Lemay Ave Ste 240
Fort Collins, CO 80524-3959
Phone: (970) 495-7421
Fax: (970) 495-7424
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1164023313
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (970) 495-7421
Other names Uchealth Medical Group; Uchealth Brain And Spine Clinic - Fort Collins
NPI enumeratedNovember 4, 2020
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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