BRUCE D FISHER DPM PC (NPI# 1285795047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285795047 |
| Entity Type | Organization |
| Organization Name | BRUCE D FISHER DPM PC |
| Other Organization Name | ADVANCED FOOT AND ANKLE CENTER OF MT |
| Practice Address |
1016 9th St S Great Falls MT 59405-4401 |
| Practice Telephone | 4067277771 |
| Practice Fax Number | 4067716575 |
| Mailing Telephone | 4067277771 |
| Mailing Fax Number | 4067716575 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | BRUCE D FISHER (PRESIDENT) |
| Authorized Official Telephone | 4067277771 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
145 | MT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS OF MT | 000095326 | 01 |
| MT | 0390898 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Foot and Ankle Center of MT | Doing Business As Name - Organization |
| Street Address |
1016 9TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417920521 | Bruce D Fisher | Podiatrist | 1016 9th St S, Great Falls, MT 59405-4401 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790196350 | Andrew Lindekugel | Podiatrist | 3000 15th Ave S, Great Falls, MT 59405 | 2014-05-16 |
| 1225293640 | Daniel Gee Hodson | Podiatrist | 3000 15th Ave S, Great Falls, MT 59405-5240 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300619 | Big Sky Foot & Ankle Institute, Inc | Podiatrist | 401 S Alabama St Ste 10, Butte, MT 59701-2358 | 2016-08-05 |
| 1154704377 | Thomas Wright | Podiatrist | 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 | 2015-07-07 |
| 1154737344 | Merrell Kauwe | Podiatrist | 1690 Rimrock Rd Ste L, Billings, MT 59102-0700 | 2014-07-08 |
| 1841633799 | Dallin Greene | Podiatrist | 401 S Alabama St Ste 10-11, Butte, MT 59701-2315 | 2013-04-10 |
| 1891059556 | Bijan Andrade | Podiatrist | 108 N 11th Ave Ste 2, Bozeman, MT 59715-3264 | 2012-06-27 |
| 1245520899 | Brian K Church | Podiatrist | 310 Wendell Ave Ste 5, Lewistown, MT 59457-2267 | 2011-04-17 |
| 1134360126 | Joel Charles Rutherford | Podiatrist | 77 Lily Valley Cir, Billings, MT 59105-2368 | 2009-03-20 |
| 1902053358 | Michael Brendan James Reed | Podiatrist | 2825 Stockyard Rd Ste J1, Missoula, MT 59808-1548 | 2008-08-27 |
| 1144404401 | Bozeman Podiatric Clinic Inc | Podiatrist | 300 N Willson Ave Ste 801h, Bozeman, MT 59715-3551 | 2007-12-21 |
| 1275668071 | Billings Foot and Ankle | Podiatrist | 71 25th St W, Suite 12, Billings, MT 59102-4684 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on BRUCE D FISHER DPM PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.