Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poudre Valley Medical Group, LLC

Organization Surgery Physician · NPI 1568091718

Poudre Valley Medical Group, LLC provides Surgery Physician services in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

4110 Briargate Pkwy Ste 465
Colorado Springs, CO 80920-7839
Phone: (719) 477-0211
Fax: (719) 477-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1568091718
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 477-0211
Other names Uchealth Medical Group; Uchealth Breast Surgical Clinic - Memorial Hospital North
NPI enumeratedApril 8, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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