Bruce Cameron Bearder, DC
Individual provider Active NPI Chiropractor · Missoula, MT
NPI 1306386602 · NPPES record last updated Mar 6, 2017
Key facts
- NPI
- 1306386602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4519 (MT)
- Practice address
- 1519 S Reserve St
Missoula, MT 59801-4755 - Phone
- (406) 549-2006
- Fax
- (406) 549-6574
- NPI assigned
- Mar 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4519 | MT | Yes |
Addresses
Primary practice location
1519 S Reserve St
Missoula, MT 59801-4755
Mailing address
1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.