NPIMap

Individual provider Active NPI

Reginald Taylor Handley, MD

  • Vascular & Interventional Radiology Physician
  • Bozeman, MT
National Provider Identifier
1205018595
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
20575 Issued in MT
Practice address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone
(406) 587-8631
Fax
(406) 587-1343
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01064573A IN
Diagnostic Radiology Physician 2085R0202X 20575 MT
Vascular & Interventional Radiology Physician 2085R0204X M11263 ID
Vascular & Interventional Radiology Physician 2085R0204X 20575 MT Primary

Addresses

Primary practice location

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Mailing address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone (406) 587-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130206000153 MT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3476721622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Intercity Imaging LLCGroup PAC ID 0941238042, 13 clinicians
Intercity Radiology PCGroup PAC ID 9830003847, 14 clinicians

Practice addresses (Care Compare)

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5200

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 587-8631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064573AINMDDiagnostic Radiology Physician
20575MTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Intercity Imaging LLC CurrentSince Mar 18, 2013 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology CurrentSince Jun 16, 2024 Accepting new patients
Boise Radiology Group PLLC Diagnostic Radiology PastSince Mar 12, 2024 Accepting new patients

Locations

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

905 Highland Blvd
Ste 4100
Bozeman, MT 59715
Phone (406) 556-5200

1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1283 N 14th Ave
Ste 202
Bozeman, MT 59715

Interoperability endpoints

  • Direct secure messaging: reginald.handley.1@17791.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1205018595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631",
            "fax_number": "406-587-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "REGINALD",
        "middle_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01064573A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "20575",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "M11263",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "20575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.