James Bryce Wiley is a Medical in Bozeman, Montana. James Bryce Wiley practices all healthcare services and medical treatments related to Medical. The NPI Number for James Bryce Wiley is 1114956190. The last update date is 2021-07-29.
James Bryce Wiley's current location address is 931 Highland Blvd, Bozeman, Montana. You can contact this provider via phone number 4064142410 and fax number 4064145198. The mailing address for James Bryce Wiley is 931 Highland Blvd, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Bryce Wiley |
|---|---|
| Address | 931 Highland Blvd, Bozeman, Montana |
| Phone Number | 4064142410 |
| Fax Number | 4064145198 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1114956190 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2021-07-29 |
Provider Mailing Address Detail
| Address | 931 Highland Blvd |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597156911 |
| Phone Number | 4064142410 |
| Fax Number | 4064145198 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 444 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4307732 | MT | -- |
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What is the unique 10-digit identifier code issued to James Bryce Wiley by the Centers for Medicare & Medicaid Services?
The James Bryce Wiley has been assigned the NPI (National Provider Identifier) 1114956190 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of James Bryce Wiley?
The James Bryce Wiley is situated at 931 Highland Blvd, in the city of Bozeman, state of MT, with the zip code 597156911.
What is the James Bryce Wiley's area of specialization and corresponding taxonomy classification?
The James Bryce Wiley's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the James Bryce Wiley receive its 1114956190 assignment from the Centers for Medicare & Medicaid Services?
The James Bryce Wiley was assigned its 1114956190 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the details pertaining to James Bryce Wiley last refreshed?
The information related to the James Bryce Wiley, including its address, specialty, and other relevant details, was last updated on 2021-07-29.