Individual provider Active NPI

Daniel Craig Bothwell, D.O.

  • Family Medicine Physician
  • Helena, MT
National Provider Identifier
1053762583
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101294 Issued in MT
Practice address
1645 Vandelay Ave Ste 301
Helena, MT 59601-3929
Phone
(406) 389-2520
NPI assigned
Jun 27, 2016
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101294 MT Primary

Addresses

Primary practice location

1645 Vandelay Ave Ste 301
Helena, MT 59601-3929

Mailing address

PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-5000

Other practice location 1

3406 Alder Ave
Fort Wainwright, AK 99703
Phone (073) 531-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230731002114 AK Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 6103287651 Reassigns benefits to 1 organization
I20250922002947 MT Practitioner - Family Practice 6103287651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1645 Vandelay Ave
Suite 301
Helena, MT 59601-3929
Phone (406) 731-8888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
101294MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Benefis Hospitals Inc CurrentSince Sep 8, 2025 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

605 Chief Thomas Dr
Fairbanks, AK 99709
Phone (907) 455-4555

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

2960 N Washington St
Helena, MT 59602
Phone (406) 389-2555

Interoperability endpoints

  • Direct secure messaging: daniel.bothwell.1@24993.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1053762583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-455-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 VANDELAY AVE STE 301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013929",
            "telephone_number": "406-389-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406 Alder Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wainwright",
            "state": "AK",
            "postal_code": "99703",
            "country_code": "US",
            "telephone_number": "073-531-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTHWELL",
        "first_name": "DANIEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "101294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.