Intermountain Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

10470 Issued in MT

Legal business name

INTERMOUNTAIN NEUROLOGY PC

Practice address

650 Ferguson Ave
Suite 1
Bozeman, MT 59718-6518

Phone

(406) 922-2770

Fax

(406) 922-2771

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sherry A Reid, MDNPI 1104835412

Title

Owner

Phone

(406) 922-2770

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sherry A Reid, MD

  • Neurology Physician
  • Decatur, IL
  • NPI 1104835412
  NPD (past) Authorized official
• John Edward Chapin, M.D.

  • Neurology Physician
  • Spokane, WA
  • NPI 1245246990
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1457486276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FERGUSON AVE",
            "address_2": "SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186518",
            "telephone_number": "406-922-2770",
            "fax_number": "406-922-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FERGUSON AVE",
            "address_2": "SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186518",
            "telephone_number": "406-922-2770",
            "fax_number": "406-922-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-922-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "10470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Neurology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.