Healthcare Provider Details

I. General information

NPI: 1447678271
Provider Name (Legal Business Name): SIMRANJIT SINGH BEDI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 PROFESSIONAL LN UNIT 290
LONGMONT CO
80501-6970
US

IV. Provider business mailing address

382 S ARTHUR AVE
LOUISVILLE CO
80027-3094
US

V. Phone/Fax

Practice location:
  • Phone: 303-604-5000
  • Fax: 717-531-7726
Mailing address:
  • Phone: 303-604-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0065826
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: