Organization Active NPI

Traditional Oriental Medicine, Inc.

  • Clinic/Center
  • Bozeman, MT
National Provider Identifier
1013488733
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRADITIONAL ORIENTAL MEDICINE, INC.
Practice address
300 N Willson Ave Ste 3002
Bozeman, MT 59715-3572
Phone
(406) 587-1167
Fax
(406) 219-0935
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tanja Ann Brekke, L.AC.NPI 1952450934
Title
President
Phone
(406) 587-1167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 N Willson Ave Ste 3002
Bozeman, MT 59715-3572

Mailing address

300 N Willson Ave Ste 3002
Bozeman, MT 59715-3572
Phone (406) 587-1167

National Provider Directory

National Provider Directory

Locations

300 N Willson Ave
Ste 3002
Bozeman, MT 59715
Phone (406) 587-1167

145 Mill Town Loop
Ste A
Bozeman, MT 59718
Phone (208) 313-7174

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1013488733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 3002",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-1167",
            "fax_number": "406-219-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 3002",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153572",
            "telephone_number": "406-587-1167",
            "fax_number": "406-219-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL ORIENTAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "BREKKE",
        "authorized_official_first_name": "TANJA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-587-1167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.