Individual provider Active NPI

Christian Lee Mullins, M.D.

  • General Practice Physician
  • Bozeman, MT
National Provider Identifier
1073583654
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MED-PHYS-LIC-60652 Issued in MT
Practice address
2420 Tschache LN Apt 206
Bozeman, MT 59718-2070
Phone
(209) 743-7696
NPI assigned
Jan 25, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MED-PHYS-LIC-60652 MT Primary

Addresses

Primary practice location

2420 Tschache LN Apt 206
Bozeman, MT 59718-2070

Mailing address

4288 Gholson Rd Unit C
Waco, TX 76705-1896
Phone (209) 743-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180123003442 MT Practitioner - Emergency Medicine 7113089400 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health & Wellness, LLC CurrentSince Nov 16, 2017 Accepting new patients
Sierra Emergency Medical Group Inc. Emergency Medicine Past Accepting new patients
Peak Health and Wellness, PLLC PastSince Nov 16, 2017 Accepting new patients

Locations

403 W Main St
Belgrade, MT 59714
Phone (406) 388-8708

862 Harmon Stream Blvd
Ste 101
Bozeman, MT 59718
Phone (406) 312-8360

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1073583654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 GHOLSON RD UNIT C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051896",
            "telephone_number": "209-743-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 TSCHACHE LN APT 206",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182070",
            "telephone_number": "209-743-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "CHRISTIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "MED-PHYS-LIC-60652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.