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

Logan L Bianchi, PA

Individual provider Physician Assistant · NPI 1730765637

Logan L Bianchi, PA is a Physician Assistant in Castle Rock, Colorado. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Oregon.

Years since qualifying
6
Licensed in
CO, OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4404 Barranca Ln Ste 101
Castle Rock, CO 80104-7419
Phone: (720) 733-5260
Fax: (720) 733-5261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006652 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA219016 (OR)

Record details

NPI number1730765637
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address715 S 9th St, Canon City, CO 81212-4911

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Castle Rock