Organization Active NPI

Mirna D Bowden MD PC

  • Obstetrics Physician
  • Whitefish, MT
National Provider Identifier
1346402963
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MT10075 Issued in MT
Legal business name
MIRNA D BOWDEN MD PC
Practice address
2002 Hospital Way
Whitefish, MT 59937
Phone
(406) 862-6436
Fax
(406) 862-9978
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mirna D Bowden, MD
Title
Physician Owner
Phone
(406) 862-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X MT10075 MT Primary

Addresses

Primary practice location

2002 Hospital Way
Whitefish, MT 59937

Mailing address

2002 Hospital Way
Whitefish, MT 59937
Phone (406) 862-6436

Other identifiers 2

IdentifierTypeStateIssuer
91065OtherMTBCBS
0151215MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1346402963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "59937",
            "telephone_number": "406-862-6436",
            "fax_number": "406-862-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "59937",
            "telephone_number": "406-862-6436",
            "fax_number": "406-862-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRNA D BOWDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN  OWNER",
        "authorized_official_telephone_number": "406-862-6436",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MT",
            "license": "MT10075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91065",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151215",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.