Individual provider Active NPI

Jarred McDaniel, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Bozeman, MT
National Provider Identifier
1295997344
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
27907 Issued in MT
Practice address
300 N Willson Ave
Suite 300C
Bozeman, MT 59715-3551
Phone
(406) 577-2346
Fax
(866) 404-8715
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 27907 MT Primary
Plastic Surgery Physician 208200000X 27907 MT

Addresses

Primary practice location

300 N Willson Ave
Suite 300C
Bozeman, MT 59715-3551

Mailing address

PO Box 10095
Bozeman, MT 59719-0095
Phone (406) 577-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20140730002886 MT Practitioner - Plastic and Reconstructive Surgery 5698991438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 Enterprise Blvd
Suite 202
Bozeman, MT 59718-5977
Phone (406) 577-2356

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27907MTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Surgical PLLC Plastic Surgery CurrentSince Jan 4, 2024 Accepting new patients
Pursue Wellness Chiropractic LLC PastSince May 11, 2016 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

203 Enterprise Blvd
Ste 202
Bozeman, MT 59718
Phone (406) 577-2346

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 1

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1295997344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10095",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597190095",
            "telephone_number": "406-577-2346",
            "fax_number": "866-404-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE",
            "address_2": "SUITE 300C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-577-2346",
            "fax_number": "866-404-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JARRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MT",
            "license": "27907",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "27907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.