Bruce D Fisher DPM PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Great Falls, MT
NPI 1285795047 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1285795047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 145 (MT)
- Legal business name
- BRUCE D FISHER DPM PC
- Practice address
- 1016 9TH St S
Great Falls, MT 59405-4401 - Phone
- (406) 727-7771
- Fax
- (406) 771-6575
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Bruce D Fisher, DPM
- Title
- President
- Phone
- (406) 727-7771
Practitioners 26
-
Bruce D Fisher, D.P.M.
-
Stephen Hugh Abercrombie, CRNA
-
Janet K Armstrong, M.D.
-
Stephen Base, MD
-
Gordon L Bell, M.D.
-
Gerry Eugene Fink, CRNA, MS
-
Jimmy Gray, MD
-
Terry D Jones, M.D.
-
Brean Drew McCarthy, D.O.
-
Danette A McIntyre, FNP
-
Anne M Millard, M.D.
-
Summera Qamar, MD
-
Thomas Eugene Schultz, CRNA
-
Shere Howald Conway, M.D.
-
Jeremy A Idjadi, MD
-
Arin W Iman, D.O.
-
Daniel L. Junck, M.D.
-
Jeffrey Howard Klein, M.D.
-
William Shane Kyle, M.D.
-
Walter E. Martin, M.D.
-
Sarah J Oven, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061222000128 | MT | Part B Supplier - Clinic/Group Practice | 0941200992 |
Receives reassigned benefits from 1 practitioner Practice locations: Great Falls, MT |
| O20100930029189 | MT | DME Supplier - Physician - Podiatry | 0941200992 | Practice locations: Great Falls, MT |
National Provider Directory
Locations
221 5th St S
Glasgow, MT 59230
Phone (406) 228-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 145 | MT | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1016 9TH St S
Great Falls, MT 59405-4401
Mailing address
1016 9TH St S
Great Falls, MT 59405-4401
Phone (406) 727-7771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000095326 | Other | MT | BCBS OF MT |
| 0390898 | Medicaid | MT |
Other names
- Advanced Foot and Ankle Center of MT
Other providers in Great Falls, MT
- Katie Melissa Kaye Brown
- Mary Anne Brown
- Melanie Marie Brown
- Nathan Edward Brown
- Vonnie R. Brown
- John Macmillan Bruce IV
- Rachael Bruce
- Christopher G. Bruch
- Brett Clyde Bruggeman
- Bruk P. Weymouth, DDS, PC
All providers in Great Falls, MT · Foot & Ankle Surgery Podiatrist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.