Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Poudre Valley Medical Group, LLC

Organization Neurology Physician · NPI 1538954425

Poudre Valley Medical Group, LLC provides Neurology Physician services in Pueblo, Colorado. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 N Grand Ave Ste 508
Pueblo, CO 81003-2757
Phone: (719) 595-7040
Fax: (719) 595-7045
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1538954425
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 595-7040
Other names Uchealth Medical Group; Uchealth Brain And Spine Clinic - Parkview Mob
NPI enumeratedApril 11, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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