Organization Active NPI

Bozeman Rheumatology, P.C.

  • Medical Specialty Clinic/Center
  • Bozeman, MT
National Provider Identifier
1356612519
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BOZEMAN RHEUMATOLOGY, P.C.
Practice address
1925 N 22ND Ave
Suite 103
Bozeman, MT 59718-7020
Phone
(406) 577-2801
Fax
(406) 577-2803
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Steven Richard Ecklund, M.D.
Title
President
Phone
(406) 577-2801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Medical Specialty Clinic/Center 261QM2500X 8582 MT

Addresses

Primary practice location

1925 N 22ND Ave
Suite 103
Bozeman, MT 59718-7020

Mailing address

1925 N 22ND Ave
Suite 103
Bozeman, MT 59718-7020
Phone (406) 577-2801

National Provider Directory

National Provider Directory

Locations

1925 N 22nd Ave
Ste 103
Bozeman, MT 59718
Phone (406) 556-0307

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1356612519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N 22ND AVE",
            "address_2": "SUITE 103",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187020",
            "telephone_number": "406-577-2801",
            "fax_number": "406-577-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N 22ND AVE",
            "address_2": "SUITE 103",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187020",
            "telephone_number": "406-577-2801",
            "fax_number": "406-577-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN RHEUMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "ECKLUND",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-577-2801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MT",
            "license": "8582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.