Individual provider Active NPI

Bonnie Elizabeth Stephens, MD

  • Neonatal-Perinatal Medicine Physician
  • Missoula, MT
National Provider Identifier
1396832846
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
M12543 Issued in ID
Practice address
2827 Fort Missoula Rd
Missoula, MT 59804
Phone
(406) 327-4002
Fax
(208) 625-5728
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X M12543 ID Primary

Addresses

Primary practice location

2827 Fort Missoula Rd
Missoula, MT 59804

Mailing address

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327002343 MT Practitioner - Pediatric Medicine 1951354257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M12543IDMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 16, 2015 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

Locations

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

Interoperability endpoints

  • Direct secure messaging: bstephens@direct.communitymed.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1396832846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-327-4002",
            "fax_number": "208-625-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-327-4002",
            "fax_number": "208-625-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ID",
            "license": "M12543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.