Active NPI
Robert Joseph McMickle, MD
- Emergency Medicine Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 126639
- Practice address
- 915 Highland Blvd
Bozeman, MT 59715-6902 - Phone
- (406) 414-5000
- NPI assigned
- Apr 4, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 126639 | MT | Primary |
Addresses
Primary practice location
915 Highland Blvd
Bozeman, MT 59715-6902
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-1826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907000191 | MT | Practitioner - Emergency Medicine | 3678937828 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, Geffen School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126639 | MT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Bozeman Health Big Sky Medical Center, LLC | Current | Accepting new patients | |
| Barrett Hospital Development Corporation | Current | Accepting new patients | |
| Bozeman Health Big Sky Medical Center, LLC | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients |
Locations
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001
30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070
Interoperability endpoints
- rmcmickle713177@direct.memorialcare.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Twin Bridges, MT
- NPI 1265319255
-
- Critical Access Hospital
- Big Sky, MT
- NPI 1588141048
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
Hospital & facility affiliations 1
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": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1114489473",
"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": "406-414-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMICKLE",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "126639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.