Active NPI
Bruce T. Smith, M.D.
- Psychiatry Physician
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5303
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13855 | 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 |
|---|---|---|---|
| 5303 | MT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HKJ Inc | Current | Accepting new patients | |
| HKJ Inc | Psychiatry | Current | Accepting new patients |
| Aware Inc | Past | 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.
-
dba Winds of Change Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1164568994
-
dba Winds of Change Mental Health Center
- Case Management Agency
- Missoula, MT
- NPI 1558483206
Psychiatry
-
- Community/Behavioral Health Agency
- Anaconda, MT
- NPI 1427003862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.