Individual provider Active NPI

Lauren Bickle, MD

  • Pediatrics Physician
  • Bozeman, MT
National Provider Identifier
1235624164
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
127526 Issued in MT
Practice address
280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056
Phone
(406) 587-5870
Fax
(406) 522-1536
NPI assigned
Jun 23, 2018
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 127526 MT Primary

Addresses

Primary practice location

280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056

Mailing address

280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056
Phone (406) 587-5870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624003077 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8921420746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127526MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hatch Urgent Care Pediatrics Past Accepting new patients
Hatch Pediatrics LLC Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1235624164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-587-5870",
            "fax_number": "406-522-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-587-5870",
            "fax_number": "406-522-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLE",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "127526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.