BENDER MEDICAL GROUP (NPI# 1770919409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770919409 |
| Entity Type | Organization |
| Organization Name | BENDER MEDICAL GROUP |
| Other Organization Name | MIRAMONT FAMILY MEDICINE |
| Practice Address |
9521 Twenty Mile Rd Parker CO 80134 |
| Mailing Address |
4674 Snow Mesa Dr Suite 140 Fort Collins CO 80528-8615 |
| Practice Telephone | 3038055528 |
| Practice Fax Number | 3038055529 |
| Mailing Telephone | 9704820213 |
| Mailing Fax Number | 9704829646 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | JOHN L BENDER (CEO) |
| Authorized Official Telephone | 9704820213 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Miramont Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743510 | Bender Medical Group | Family Medicine | 525 Hathaway St, Fairplay, CO 80440-0760 | 2013-07-24 |
| 1568408011 | Bender Medical Group | Chiropractor | 2911 Niles St, Bakersfield, CA 93306-4246 | 2006-06-22 |
| 1124427182 | Bender Medical Group | Social Worker | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2014-08-15 |
| 1679912919 | Bender Medical Group | Family Medicine | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2013-06-20 |
| 1700193034 | Bender Medical Group | Family Medicine | 4674 Snow Mesa Dr Ste 140, Fort Collins, CO 80528-8614 | 2010-09-08 |
| 1740596527 | Bender Medical Group | Family Medicine | 313 W Drake Rd, Fort Collins, CO 80526-2846 | 2010-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BENDER MEDICAL GROUP, INC. | Miramont Family Medicine, 4674 Snow Mesa Drive Ste 140, Fort Collins, CO 80528 |
| Street Address |
9521 TWENTY MILE RD |
| City | PARKER |
| State | CO |
| Zip Code | 80134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083009641 | Sergio Ramoa | Family Medicine | 11339 S Pikes Peak Dr, Parker, CO 80138-7333 | 2015-03-31 |
| 1942552401 | Samuel I Brandt | Family Medicine | 5034 Bur Oak Ln, Parker, CO 80134-5448 | 2012-10-09 |
| 1033461918 | Clark Benjamin Zimmerman IIi | Family Medicine | 7973 Stroh Rd, Parker, CO 80134-6908 | 2012-10-03 |
| 1649423914 | Bree Ann Willis | Family Medicine | 9949 S Oswego St Ste 200, Parker, CO 80134-3753 | 2008-10-29 |
| 1144481102 | Portercare Adventist Health System | Family Medicine | 10371 S. Parkglenn Way, Suite 230a, Parker, CO 80138 | 2008-06-23 |
| 1457510430 | Poudre Valley Medical Group, LLC | Family Medicine | 19964 Hilltop Rd Ste A, Parker, CO 80134-7316 | 2008-06-05 |
| 1013031400 | Foothills Medical Associates Pllc | Family Medicine | 11355 S Parker Rd Ste 103, Parker, CO 80134-7403 | 2007-03-19 |
| 1881732899 | Barton William Butterbaugh | Family Medicine | 1713 S Kofa Ave Ste A, Parker, AZ 85344-6401 | 2007-02-02 |
| 1861544462 | Hilltop Family Physicians | Family Medicine | 19964 E Hilltop Rd, Ste A, Parker, CO 80134-7313 | 2007-01-17 |
| 1609924836 | Oswaldo Grenardo | Family Medicine | 19284 E Cottonwood Dr Ste 201, Parker, CO 80138-3881 | 2007-01-05 |
| Find all providers in PARKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.