Midvalley Family Practice PC
Midvalley Family Practice PC is a healthcare organization registered as Family Medicine Physician in Basalt, CO, holding Type 2 (organization) NPI 1568559748 since 2006. The authorized official on file is Heather Boronski, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568559748 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Midvalley Family Practice PC |
| Practice address | 1450 E VALLEY RD, SUITE 102, Basalt, CO, 81621 |
| Phone | 9709274666 |
| Fax | 9709276623 |
| Enumeration date | 2006-10-06 |
| Last updated in NPPES | 2020-07-07 |
Authorized official
| Name | Heather Boronski |
|---|---|
| Title | Office Manager |
| Phone | 9709274666 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | 30756 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04826027 | Medicaid | CO | — |
Copy-ready billing details
Provider: Midvalley Family Practice PC NPI: 1568559748 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1450 E VALLEY RD, SUITE 102, Basalt, CO, 81621
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417943366 | Glenn Kotz | Individual | Family Medicine Physician | Basalt, CO |
| 1679569479 | Bruce Bowen | Individual | Family Medicine Physician | Basalt, CO |
| 1306812847 | Nancy Bacheldor | Individual | Midwife | Basalt, CO |
| 1588630024 | Karen Owens | Individual | Midwife | Basalt, CO |
| 1609842145 | Cali Corp | Organization | Gynecology Physician | Basalt, CO |
| 1588632731 | Melinda Nagle | Individual | Gynecology Physician | Basalt, CO |
| 1740244342 | Tomas Pevny | Individual | Sports Medicine (Orthopaedic Surgery) Physician | Basalt, CO |
| 1508820176 | Orthopaedic Associates of Aspen and Glenwood | Organization | Orthopaedic Surgery Physician | Basalt, CO |
Verify this record
Cross-check NPI 1568559748 against the authoritative CMS record: view Midvalley Family Practice PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Midvalley Family Practice PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-07.