| Bozeman Clinic Pllp | |
|
931 Highland Blvd Suite 3360 Bozeman MT 59715 | |
| (406) 587-4242 | |
| (406) 587-3507 |
| Full Name | Bozeman Clinic Pllp |
|---|---|
| Speciality | Family Medicine |
| Location | 931 Highland Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Judith J. Douglas (ADMINISTRATOR) |
| Authorized Official Contact | 4065874242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Clinic Pllp 931 Highland Blvd Suite 3360 Bozeman MT 59715 Ph: (406) 587-4242 | Bozeman Clinic Pllp 931 Highland Blvd Suite 3360 Bozeman MT 59715 Ph: (406) 587-4242 |
| NPI Number | 1013936244 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 2264468180 |
|---|---|
| Medicare Enrollment ID | O20050713000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013936244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven G Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699797480 PECOS PAC ID: 9638105554 Enrollment ID: I20050712001094 |
| Provider Name | Christine L Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992728240 PECOS PAC ID: 3971493495 Enrollment ID: I20060413000706 |
| Provider Name | Heather J Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801800370 PECOS PAC ID: 3072540582 Enrollment ID: I20100817001598 |
| Provider Name | Gabor Benda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619996840 PECOS PAC ID: 4789612227 Enrollment ID: I20100915000889 |
| Provider Name | Matthew Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467016873 PECOS PAC ID: 4880921352 Enrollment ID: I20220726000222 |
| Provider Name | Jeremy J Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760452049 PECOS PAC ID: 8729090121 Enrollment ID: I20240216002511 |
| Provider Name | Kara R Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922078260 PECOS PAC ID: 9537171939 Enrollment ID: I20240301002415 |
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