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BENDER MEDICAL GROUP INC NPI 1215027107


NPI Information

NPI: 1215027107
Provider Name: BENDER MEDICAL GROUP INC

Doing Business As: MIRAMONT FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4674 SNOW MESA DR
STE 140
FT COLLINS, CO
ZIP 80528
Phone: (970) 482-0213
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BENDER MEDICAL GROUP INC is a family medicine in Ft Collins, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BENDER MEDICAL GROUP INC NPI is 1215027107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Miramont Family Medicine.

The provider's business location address is:

4674 SNOW MESA DR
STE 140
FT COLLINS, CO
ZIP 80528
Phone: (970) 482-0213
Fax: (970) 482-9646

The provider's authorized official is Teresa E Bender .
The authorized official title is Practice Admin and has the following contact phone number (970) 482-0213.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 3/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant2790COLORADONo
2363A00000XPhysician Assistant2589COLORADONo
3363L00000XNurse PractitionerNP10339COLORADONo
4207Q00000XFamily Medicine42203COLORADONo
5207Q00000XFamily Medicine45095COLORADONo
6207Q00000XFamily Medicine27536COLORADONo
7207Q00000XFamily Medicine40384COLORADONo
8207Q00000XFamily Medicine21180COLORADONo
9207Q00000XFamily Medicine31325COLORADONo
10207Q00000XFamily Medicine46447COLORADONo
11363A00000XPhysician Assistant1082COLORADONo
12363A00000XPhysician Assistant905COLORADONo
13207Q00000XFamily Medicine32679COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1654282OTHERBC/BS
219930054MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.