Individual provider Active NPI

Robert Bruce Vannice, MD

  • Family Medicine Physician
  • Laurel, MT
National Provider Identifier
1104992908
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4566 Issued in MT
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

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000060673MedicaidMT

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4566MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Montana Past Accepting new patients
SCL Health Medical Group - Billings, LLC Past Accepting new patients
The Laurel Clinic PLLC Family Medicine PastSince May 19, 2003 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.

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

Verify at the official NPI Registry.