# BENDER MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Miramont Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215027107
- **Authorized official:** MRS. TERESA E BENDER (PRACTICE ADMIN)
- **Authorized official phone:** (970) 482-0213

## Contact information

- **Practice address:** 4674 SNOW MESA DR, STE 140, FT COLLINS, CO 80528
- **Practice address phone:** (970) 482-0213
- **Practice address fax:** (970) 482-9646
- **Mailing address:** 4674 SNOW MESA DR, STE 140, FT COLLINS, CO 80528
- **Mailing address phone:** (970) 482-0213
- **Mailing address fax:** (970) 482-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21180 | CO | — |
| 207Q00000X | Family Medicine Physician | 27536 | CO | — |
| 207Q00000X | Family Medicine Physician | 31325 | CO | — |
| 207Q00000X | Family Medicine Physician | 32679 | CO | Yes |
| 207Q00000X | Family Medicine Physician | 40384 | CO | — |
| 207Q00000X | Family Medicine Physician | 42203 | CO | — |
| 207Q00000X | Family Medicine Physician | 45095 | CO | — |
| 207Q00000X | Family Medicine Physician | 46447 | CO | — |
| 363A00000X | Physician Assistant | 1082 | CO | — |
| 363A00000X | Physician Assistant | 2589 | CO | — |
| 363A00000X | Physician Assistant | 2790 | CO | — |
| 363A00000X | Physician Assistant | 905 | CO | — |
| 363L00000X | Nurse Practitioner | NP10339 | CO | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 03/05/2013