Organization Active NPI

Bluebird Health Imaging, PLLC

  • Body Imaging Physician
  • Kalispell, MT
National Provider Identifier
1285492983
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
BLUEBIRD HEALTH IMAGING, PLLC
Practice address
104 Westview Park PL Ste 103
Kalispell, MT 59901-3074
Phone
(406) 802-5867
NPI assigned
Mar 8, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Daniel Gragert, DO, MPH, MSC
Title
Owner
Phone
(406) 314-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

104 Westview Park PL Ste 103
Kalispell, MT 59901-3074

Mailing address

104 Westview Park PL
Kalispell, MT 59901-3074

National Provider Directory

National Provider Directory

Locations

104 Westview Park Pl
Ste 103
Kalispell, MT 59901
Phone (406) 802-5867

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1285492983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WESTVIEW PARK PL STE 103",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-802-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD HEALTH IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GRAGERT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-314-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MPH, MSC"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.