BANNER FORT COLLINS PCP LLC NPI 1376333567

NPI Information

NPI: 1376333567
Provider Name: BANNER FORT COLLINS PCP LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 06D2327690
Address: 2025 BIGHORN RD
FORT COLLINS, CO
ZIP 80525
Phone: (970) 449-0082

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NPI Details

BANNER FORT COLLINS PCP LLC is a primary care clinic center in Fort Collins, CO. BANNER FORT COLLINS PCP LLC NPI is 1376333567. The provider is registered as an organization entity type.

The provider's business location address is:

2025 BIGHORN RD
FORT COLLINS, CO
ZIP 80525-480
Phone: (970) 449-0082

The provider's authorized official is Shiva Birdi .
The authorized official title is Ceo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 06D2327690 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2025 and was last updated on 7/30/2025.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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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