BENDER MEDICAL GROUP INC NPI 1215027107

NPI Information

  • NPI: 1215027107
  • Provider Name: BENDER MEDICAL GROUP INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MIRAMONT FAMILY MEDICINE
  • Address: 4674 SNOW MESA DR
    STE 140
    FT COLLINS, CO
    ZIP 80528
  • Phone: (970) 482-0213

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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