Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sophia Wagner Burge, PA-C

Individual provider Surgical Physician Assistant · NPI 1972026276

Mrs. Sophia Wagner Burge, PA-C is a Physician Assistant in Greeley, Colorado. Qualified in 2017, 9 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 15th St Ste 340
Greeley, CO 80631-4562
Phone: (970) 810-4593
Fax: (970) 810-4591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0005117 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1972026276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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