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

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.

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

LicenseStateTypeSpecialty
7483MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Critical Care Services, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0103519MedicaidMT

Other providers in Missoula, MT

All providers in Missoula, MT · Anesthesiology Physician in Montana

Sources for this page

Verify at the official NPI Registry.