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Intermountain Medical Group Denver, LLC

Physical Medicine & Rehabilitation Physician in Broomfield, CO · enumerated 2021 · authorized official Jon Mcdaniel, Vp Fiance Med Group.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053083618

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Registry record

Entity type Organization (Type 2)
Legal business name Intermountain Medical Group Denver, LLC
Other name <Unavail>
Parent organization Intermountain Front Range, Inc.
Practice address 500 Eldorado Blvd Bldg 4, Broomfield, CO, 80021
Fax (720) 405-4325
Enumeration date Oct 1, 2021
Last updated in NPPES Jun 28, 2024

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jon Mcdaniel
Title Vp Fiance Med Group

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Intermountain Medical Group Denver, LLC?
The NPI for Intermountain Medical Group Denver, LLC is 1053083618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Intermountain Medical Group Denver, LLC?
NPPES lists Jon Mcdaniel (Vp Fiance Med Group) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-28.