Bruce Allen Bollen, M.D.
Individual provider Active NPI Anesthesiology Physician · Missoula, MT
NPI 1104815216 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104815216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 7483 (MT)
- Practice address
- 3550 Mullan Rd
Suite 103
Missoula, MT 59808-5168 - Phone
- (406) 728-8420
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7483 | MT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ma Critical Care Services, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 7483 | MT | Yes |
Addresses
Primary practice location
3550 Mullan Rd
Suite 103
Missoula, MT 59808-5168
Mailing address
PO Box 17527
Missoula, MT 59808-7527
Phone (406) 728-8420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103519 | Medicaid | MT |
Other providers in Missoula, MT
- Lashawna Jaclyn Bohr
- Joseph D Boland
- Amira Bolden
- Megan Francis Bolin
- Kaitlin Bolinske
- Kirstin Bolton
- Rebecca Ann Bombyk
- Joan Marie Bond-Deschamps
- Christine Kasper Bond
- Tyler Jameson Bond
All providers in Missoula, MT · Anesthesiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.