Organization Active NPI

Bridger Recovery PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Bozeman, MT
National Provider Identifier
1184479628
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BRIDGER RECOVERY PLLC
Practice address
141 Discovery Dr Ste 109
Bozeman, MT 59718-4134
Phone
(406) 518-0625
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Emily Rose Mark, LACNPI 1548996408
Title
Co-Founder
Phone
(301) 956-6820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

141 Discovery Dr Ste 109
Bozeman, MT 59718-4134

Mailing address

141 Discovery Dr Ste 109
Bozeman, MT 59718-4134
Phone (406) 518-0625

National Provider Directory

National Provider Directory

Locations

141 Discovery Dr
Ste 109
Bozeman, MT 59718
Phone (406) 518-0625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1184479628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DISCOVERY DR STE 109",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184134",
            "telephone_number": "406-518-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DISCOVERY DR STE 109",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184134",
            "telephone_number": "406-518-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGER RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "301-956-6820",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "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 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.