NPIMap

Individual provider Active NPI

Justin Daniel Thomas, M.D.

  • Medical Oncology Physician
  • Bozeman, MT
National Provider Identifier
1104002195
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
12523 Issued in MT
Practice address
931 Highland Blvd Ste 3130
Bozeman, MT 59715-6914
Phone
(406) 414-5070
NPI assigned
Jan 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6808635-1205 UT
Medical Oncology Physician 207RX0202X 12523 MT Primary

Addresses

Primary practice location

931 Highland Blvd Ste 3130
Bozeman, MT 59715-6914

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000788 MT Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 4183894306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess Hospital 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3130
Bozeman, MT 59715-6914
Phone (406) 414-5070

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • St Peters Health Hospital, Helena, MT, CCN 270003
  • Livingston Healthcare Hospital, Livingston, MT, CCN 271317
  • Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318
  • Ruby Valley Medical Center Hospital, Sheridan, MT, CCN 271319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6808635-1205UTMDInternal Medicine Physician
12523MTMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Aug 1, 2016 Accepting new patients
St Peter'S Health Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
St. Peter'S Health Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Bozeman Health Deaconess Hospital Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
St. Peter'S Health CurrentSince Jul 1, 2011 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3130
Bozeman, MT 59715
Phone (406) 414-5070

931 Highland Blvd
Bozeman, MT 59715
Phone (406) 579-2237

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 9

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

Hospital & facility affiliations 12

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1104002195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3130",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156914",
            "telephone_number": "406-414-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "6808635-1205",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MT",
            "license": "12523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.