NPI

Banner Hospital Based Physicians West LLC

Phone (307) 577-2171 · NPI 1619464120

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2018-04-19
Last updated
2026-04-17

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1233 E 2nd St
City
Casper WY
Postal code
82601-2926
Phone
(307) 577-2171

Organization contact

Name
Shiva Birdi
Title
CEO
Phone
(602) 747-4000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Clinic/Center, Multi-Specialty providers in Casper, WY. 7 with this primary taxonomy in the public file.

Other NPIs in Casper, WY. 2,697 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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