NPIMap

Individual provider Active NPI

Kevin Wayne Bozarth, MD

  • Anesthesiology Physician
  • Bozeman, MT
National Provider Identifier
1285654558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10438 Issued in MT
Practice address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone
(800) 461-3981
Fax
(801) 733-5872
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Anesthesiology Physician 207L00000X 10438 MT Primary

Addresses

Primary practice location

915 Highland Blvd
Bozeman, MT 59715-6902

Mailing address

136 Cook CT
Bozeman, MT 59715-8063
Phone (406) 579-7050

Other identifiers 1

IdentifierTypeStateIssuer
1343108880000OtherMTCHAMPUS

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
I20040227000883 MT Practitioner - Anesthesiology 0244127942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Gallatin Valley Anesthesia Associates PCGroup PAC ID 1456372523, 35 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 585-5000

925 Highland Blvd
Suite 1180
Bozeman, MT 59715-6905
Phone (406) 587-8631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10438MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gallatin Valley Anesthesia Associates Anesthesiology Current Accepting new patients
Livingston Healthcare CurrentSince Sep 1, 2020 Accepting new patients
Livingston Healthcare Current Accepting new patients
Billings Clinic Current Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology CurrentSince Jan 1, 2006 Accepting new patients
Billings Clinic CurrentSince Apr 8, 2025 Accepting new patients
Livingston Healthcare CurrentSince Sep 1, 2020 Accepting new patients
Granite Peak Anesthesiology Consultants Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Billings Clinic Past Accepting new patients
Intercity Radiology, PC Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

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

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285654558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 COOK CT",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158063",
            "telephone_number": "406-579-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "800-461-3981",
            "fax_number": "801-733-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZARTH",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "10438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "1343108880000",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.