Active NPI
Robert Bruce Vannice, MD
- Family Medicine Physician
- Laurel, MT
National Provider Identifier
1104992908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4566
- Practice address
- 319 1St Ave
Laurel, MT 59044 - Phone
- (406) 628-4955
- Fax
- (406) 628-4362
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4566 | MT | Primary |
Addresses
Primary practice location
319 1St Ave
Laurel, MT 59044
Mailing address
Box 445
Laurel, MT 59044-0495
Phone (405) 628-4955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000060673 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4566 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Montana | Past | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Past | Accepting new patients | |
| The Laurel Clinic PLLC | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1104992908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 445",
"city": "LAUREL",
"state": "MT",
"postal_code": "590440495",
"telephone_number": "405-628-4955",
"fax_number": "406-628-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 1ST AVE",
"city": "LAUREL",
"state": "MT",
"postal_code": "59044",
"telephone_number": "406-628-4955",
"fax_number": "406-628-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNICE",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "4566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000060673",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.