Montana Spinal Solutions PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MONTANA SPINAL SOLUTIONS PLLC

Practice address

Billings Clinic, Bozeman
3905 Wellness Way
Bozeman, MT 59718

Phone

(406) 533-9688

Fax

(469) 898-1659

NPI assigned

Aug 14, 2020

Last updated

Mar 21, 2023By 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

Anthony J Russo, MD

Title

Delegated Official

Phone

(406) 533-9688

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1376154039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BILLINGS CLINIC, BOZEMAN",
            "address_2": "3905 WELLNESS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-533-9688",
            "fax_number": "469-898-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BILLINGS CLINIC, BOZEMAN",
            "address_2": "3905 WELLNESS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-533-9688",
            "fax_number": "469-898-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA SPINAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "406-533-9688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LIC",
            "identifier": "11747",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.