BOZEMAN PRIMARY CARE PLLC (NPI# 1477020824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477020824 |
| Entity Type | Organization |
| Organization Name | BOZEMAN PRIMARY CARE PLLC |
| Other Organization Name | BOZEMAN PRIMARY CARE |
| Practice Address |
4535 Valley Commons Dr Ste 104 Bozeman MT 59718-4160 |
| Practice Telephone | 4064041525 |
| Mailing Telephone | 4064041525 |
| Mailing Fax Number | 4065489777 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | DR. TERRY SCOTT EDWARDS (OWNER) |
| Authorized Official Telephone | 4064041525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 8210759 | 05 |
| Other Name | Type Code |
|---|---|
| Bozeman Primary Care | Doing Business As Name - Organization |
| Street Address |
4535 VALLEY COMMONS DR STE 104 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811912991 | Terry Scott Edwards | Family Medicine | 4535 Valley Commons Dr Ste 104, Bozeman, MT 59718-4161 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653484 | Logen Ross Nunberg | Family Medicine | 105 E Oak St Ste 1e, Bozeman, MT 59715-2978 | 2019-08-01 |
| 1275732430 | Barbara Ellen Prescott | Family Medicine | 3056 Farmall St, Bozeman, MT 59718-9448 | 2007-07-17 |
| 1437357126 | Hanly Burton | Family Medicine | 316 E Babcock, Bozeman, MT 59715 | 2007-07-05 |
| 1063621985 | Robert Owen Mcginnis | Family Medicine | 1575 W Kagy Blvd, Bozeman, MT 59715-6509 | 2007-05-21 |
| 1720205628 | Karen Joyce Reif | Family Medicine | Swingle Student Health Service 7th Ave. S., Montana St. University, Bozeman, MT 59717-3260 | 2007-04-20 |
| 1699896332 | Arnold Shapiro | Family Medicine | Swingle Student Health Service South 7th Ave., Msu, Bozeman, MT 59717 | 2007-04-02 |
| 1942361860 | Family Doctors Urgent Care LLC | Family Medicine | 120 North 19th, Suite A, Bozeman, MT 59718-3920 | 2006-12-13 |
| 1427119379 | Thomas Richard Goldsmith | Family Medicine | 10150 Cottonwood Road, Bozeman, MT 59718-8969 | 2006-12-13 |
| 1801962758 | Karen Louise Selin | Family Medicine | South Seventh Ave., Bozeman, MT 59717-3260 | 2006-11-24 |
| 1013082932 | Ita M Killeen | Family Medicine | Swingle Student Health Service South 7th Ave, Msu, Bozeman, MT 59715-3260 | 2006-11-24 |
| Find all providers in BOZEMAN | ||||
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| 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.