Individual provider Active NPI

Bruce T. Smith, M.D.

  • Psychiatry Physician
  • Helena, MT
National Provider Identifier
1194716084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5303 Issued in MT
Practice address
111 N Last Chance Gulch St
Helena, MT 59601-4144
Phone
(406) 447-1863
NPI assigned
Oct 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5303 MT Primary

Addresses

Primary practice location

111 N Last Chance Gulch St
Helena, MT 59601-4144

Mailing address

427 Holter St
Helena, MT 59601-6154
Phone (406) 443-4803

Other identifiers 1

IdentifierTypeStateIssuer
13855MedicaidMT

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
5303MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HKJ Inc CurrentSince May 22, 2019 Accepting new patients
HKJ Inc Psychiatry CurrentSince May 22, 2019 Accepting new patients
Aware Inc PastSince Nov 3, 2012 Accepting new patients

Locations

1120 Cedar St
Missoula, MT 59802
Phone (406) 541-4673

3000 Palmer St
Missoula, MT 59808
Phone (406) 541-4673

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194716084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HOLTER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596016154",
            "telephone_number": "406-443-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014144",
            "telephone_number": "406-447-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRUCE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "5303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13855",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.