POUDRE VALLEY MEDICAL GROUP LLC NPI 1215540539

NPI Information

  • NPI: 1215540539
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • CLIA Number: 06D2274920
  • Address: 340 E 1ST AVE STE 101
    BROOMFIELD, CO
    ZIP 80020
  • Phone: (303) 544-3800

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NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is an urology in Broomfield, CO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1215540539. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

340 E 1ST AVE STE 101
BROOMFIELD, CO
ZIP 80020-444
Phone: (303) 544-3800
Fax: (303) 544-3810

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (303) 544-3800.

The CLIA number assigned to this NPI record is 06D2274920 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/26/2020 and was last updated on 3/5/2024.

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
1207RG0100XInternal MedicineGastroenterologyNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RS0012XInternal MedicineSleep MedicineNo
4208800000XUrologyYes

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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