Active NPI
Bozeman Health Deaconess Hospital
- Emergency Medicine Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
O20151112002559
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bozeman, MT
- NPI 1558984724
-
- Medical Physician Assistant
- Bozeman, MT
- NPI 1629301080
-
- Medical Physician Assistant
- Bozeman, MT
- NPI 1851808067
-
- Medical Physician Assistant
- Billings, MT
- NPI 1902261795
-
- Family Nurse Practitioner
- Livingston, MT
- NPI 1952096661
-
- Medical Physician Assistant
- Bozeman, MT
- NPI 1811001290
-
- Cardiovascular Disease Physician
- Bozeman, MT
- NPI 1528593225
-
- Pediatrics Physician
- Bozeman, MT
- NPI 1215161427
-
- Hospitalist Physician
- Bozeman, MT
- NPI 1154467801
-
- Gynecologic Oncology Physician
- Bozeman, MT
- NPI 1598986200
-
- Adult Health Nurse Practitioner
- Bozeman, MT
- NPI 1083260830
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
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital (Bozeman Health Interfacility Transport)
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital (Highland Park Pharmacy)
- Bozeman Health Deaconess Hospital
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.