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

Dr. Mark Bradley Fisher, MD

Individual provider Urology Physician · NPI 1356529028

Dr. Mark Bradley Fisher, MD is an Urology in Longmont, Colorado. Graduated from Wayne State University School of Medicine in 2001, 25 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
25
Trained at
Wayne State University School of Medicine
Licensed in
CO, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (720) 718-8305
Fax: (303) 485-3377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 054743 (CO)
Urology Physician Taxonomy 208800000X · Licence 036122470 (IL)

Record details

NPI number1356529028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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