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

Dr. Robert R Nystrom, DO

Individual provider Family Medicine Physician · NPI 1902936107

Dr. Robert R Nystrom, DO is a Family Practice in Greeley, Colorado. Graduated from College of Osteo Med of the Pacific at Pomona in 1989, 37 years ago. Practices with Banner Urgent Care Colorado, a 23-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
37
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1900 16th St
Greeley, CO 80631-5114
Phone: (970) 350-2471
Fax: (970) 350-2418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30464 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 30464 (CO)

Record details

NPI number1902936107
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 2, 2012
Mailing address1900 16th St, Greeley, CO 80631-5114

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1989 (37 years in practice)
Group practice Banner Urgent Care Colorado — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greeley