Bozeman Radiation Oncology PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

11212 Issued in MT

Legal business name

BOZEMAN RADIATION ONCOLOGY PC

Practice address

931 Highland Blvd
Suite 3130
Bozeman, MT 59715-6911

Phone

(406) 579-2237

Fax

(406) 556-5426

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Koeplin, MDNPI 1205868965

Title

President

Phone

(406) 579-2237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Koeplin, MD

  • Radiation Oncology Physician
  • Boise, ID
  • NPI 1205868965

  MT

  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Barnett Baker Jr., M.D.

  • Radiation Oncology Physician
  • Bozeman, MT
  • NPI 1609223932
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407983299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597710697",
            "telephone_number": "406-579-2237",
            "fax_number": "406-556-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD",
            "address_2": "SUITE 3130",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156911",
            "telephone_number": "406-579-2237",
            "fax_number": "406-556-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEPLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-579-2237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MT",
            "license": "11212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Radiation Oncology 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.