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

Poudre Valley Medical Group, LLC

Organization Surgery Physician · NPI 1568091718

Poudre Valley Medical Group, LLC is a Surgery Physician in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

4110 Briargate Pkwy Ste 465
Colorado Springs, CO 80920-7839
Phone: (719) 477-0211
Fax: (719) 477-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1568091718
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 477-0211
Other names Uchealth Medical Group; Uchealth Breast Surgical Clinic - Memorial Hospital North
NPI enumeratedApril 8, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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