Montana Sport And Spine Llc in Bozeman - Pain Medicine

Montana Sport And Spine Llc - NPI 1013004241

Montana Sport And Spine Llc is a Pain Medicine in Bozeman, Montana. Montana Sport And Spine Llc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Montana Sport And Spine Llc is 1013004241. The last update date is 2013-07-23.

Montana Sport And Spine Llc's current location address is 925 Highland Blvd, Suite 1130, Bozeman, Montana. You can contact this provider via phone number 4065229067 and fax number 4065229074. The mailing address for Montana Sport And Spine Llc is 925 Highland Blvd, Suite 1130, Bozeman, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Montana Sport And Spine Llc
Address 925 Highland Blvd, Suite 1130, Bozeman, Montana
Phone Number 4065229067
Fax Number 4065229074
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROPRIETER
Authorized Official Name Aylor L. Bradley
Credentials M.D.
Telephone Number 4065229067

NPI Number Detail

NPI Number 1013004241
Provider Enumeration Date 2006-10-09
Last Updated Date 2013-07-23

Provider Mailing Address Detail

Address 925 Highland Blvd, Suite 1130
City Bozeman
State Montana (MT)
Post Code 597156900
Phone Number 4065229067
Fax Number 4065229074

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2081P2900X
Definition:
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
99205 MT BLUE CROSS BLUE SHIELD
DC7699 MT RAILROAD MEDICARE

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FAQs about Montana Sport And Spine Llc

What is the unique provider identifier assigned to Montana Sport And Spine Llc?

The Montana Sport And Spine Llc has been issued the NPI (National Provider Identifier) 1013004241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Montana Sport And Spine Llc's physical address?

The Montana Sport And Spine Llc is physically located at 925 Highland Blvd, Suite 1130, in the city of Bozeman, MT, with the postal code 597156900.

What is the area of specialization for Montana Sport And Spine Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Montana Sport And Spine Llc is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081P2900X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013004241 to Montana Sport And Spine Llc?

The Centers for Medicare & Medicaid Services originally issued the 1013004241 to Montana Sport And Spine Llc on 2006-10-09.

As of what date were the Montana Sport And Spine Llc's details last updated?

The information pertaining to the Montana Sport And Spine Llc, including its address, specialty, and other details, was most recently updated on 2013-07-23.

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