Healthcare Provider Details

I. General information

NPI: 1194663773
Provider Name (Legal Business Name): BRANDI BOWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRANDI HOPKINS

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10755 EVENING CREEK DR
PEYTON CO
80831-3836
US

IV. Provider business mailing address

10755 EVENING CREEK DR
PEYTON CO
80831-3836
US

V. Phone/Fax

Practice location:
  • Phone: 720-436-4232
  • Fax:
Mailing address:
  • Phone: 720-436-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.1001781
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: