Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Urology Physician · Broomfield, CO

NPI number 1215540539 Active

Practice location

340 E 1st Ave Ste 101
Broomfield, CO 80020-2444

Call (303) 544-3800 Map

Fax (303) 544-3810

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician	207RP1001X	None listed
Sleep Medicine (Internal Medicine) Physician	207RS0012X	None listed
Urology Physician Primary	208800000X	None listed

Urology Physician: 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.

5 other providers at this address

NPI record

NPI: 1215540539
Entity type: Organization (Type 2)
Issued: Aug 26, 2020
Last updated: Jul 20, 2026
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(303) 544-3800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215540539

Poudre Valley Medical Group, LLC's National Provider Identifier is 1215540539, issued on Aug 26, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Broomfield, CO. The record was last updated on Jul 20, 2026.