Provider Demographics
NPI:1013162791
Name:HEXTELL, BRENT GARLAND (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:GARLAND
Last Name:HEXTELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 S COUNTY ROAD 5 UNIT 209
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9004
Mailing Address - Country:US
Mailing Address - Phone:970-674-0147
Mailing Address - Fax:970-674-0145
Practice Address - Street 1:8010 S COUNTY ROAD 5 UNIT 209
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9004
Practice Address - Country:US
Practice Address - Phone:970-674-0147
Practice Address - Fax:970-674-0145
Is Sole Proprietor?:No
Enumeration Date:2008-11-23
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6306111NS0005X, 111N00000X, 111NN1001X, 111NR0400X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0100XChiropractic ProvidersChiropractorOccupational Health