Bodine Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10364 Issued in MT

Legal business name

BODINE MEDICAL LLC

Practice address

401 S Alabama St
Suite 3B
Butte, MT 59701-2315

Phone

(406) 723-4312

Fax

(406) 723-4316

NPI assigned

Apr 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan A Bodine, DONPI 1760434740

Title

Managing Partner

Phone

(406) 723-4312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan A Bodine, D.O.

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1760434740
  NPD Authorized official

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346360203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 3B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-723-4312",
            "fax_number": "406-723-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 3B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "406-723-4312",
            "fax_number": "406-723-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODINE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "406-723-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jane Blando, ATC
• Nick Blavatsky, MD
• Laura Beth Block, M.ED., LCPC
• Cody Philip Blom, O.D.
• Blue Mountain Counseling
• Jonathan A Bodine, D.O.
• Kerry Bohlken, APRN, FNP-C
• Timothy Bolewicz, OTR
• Carlye Bolstad, PA-C
• Alyssa Bolton, MS CCC-SLP

• Internal Medicine Physician in Butte, MT
• Providers in Butte, MT by specialty
• Internal Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.