Organization Active NPI

Bozeman Health Deaconess Hospital

  • Emergency Medicine Physician
  • Bozeman, MT
National Provider Identifier
1437529112
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BOZEMAN HEALTH DEACONESS HOSPITAL
Practice address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone
(406) 414-5000
Fax
(404) 414-1071
NPI assigned
Oct 7, 2015
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Bradley Ludford
Title
Cfo
Phone
(406) 414-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

915 Highland Blvd
Bozeman, MT 59715-6902

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other names 1

  • Bozeman Health Deaconess Hospital ER Providers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112002559 MT Part B Supplier - Clinic/Group Practice 4688984164 Receives reassigned benefits from 466 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bozeman, MT; Butte, MT; Dillon, MT; Ennis, MT; Great Falls, MT; Livingston, MT; White Sulphur Springs, MT; Belgrade, MT…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

931 Highland Blvd
Ste 3210
Bozeman, MT 59715
Phone (406) 414-2410

931 Highland Blvd
Ste 3350
Bozeman, MT 59715
Phone (406) 414-5331

935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311

935 Highland Blvd
Ste 2210
Bozeman, MT 59715
Phone (406) 414-3133

937 Highland Blvd
Ste 5320
Bozeman, MT 59715
Phone (406) 414-4570

Practitioners & affiliated clinicians

Practitioners 193

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 193

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1437529112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000",
            "fax_number": "404-414-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000",
            "fax_number": "404-414-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN HEALTH DEACONESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LUDFORD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-414-1036"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bozeman Health Deaconess Hospital ER Providers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bozeman Health Deaconess Hospital ER Providers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 19, 2024; 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.