Provider Demographics
NPI:1922035476
Name:WESTHOFF, BRENDA C (DO)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:C
Last Name:WESTHOFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:C
Other - Last Name:WESTHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4451
Mailing Address - Fax:970-490-4199
Practice Address - Street 1:206 WEST COUNTY ROAD
Practice Address - Street 2:SUITE 210
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2320
Practice Address - Country:US
Practice Address - Phone:720-516-9089
Practice Address - Fax:720-516-9090
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-38449207RG0100X
CODR.0044583207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000206406Medicaid
COP00417970OtherRAILROAD MEDICARE
COC806108Medicare PIN
CO84084332Medicaid