Individual provider Active NPI

Bradley Aylor, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bozeman, MT
National Provider Identifier
1477645570
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
10381 Issued in MT
Practice address
925 Highland Blvd, Suite 1130
Montana Sport and Spine LLC
Bozeman, MT 59715-6900
Phone
(406) 522-9067
Fax
(406) 522-9074
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 10381 MT Primary

Addresses

Primary practice location

925 Highland Blvd, Suite 1130
Montana Sport and Spine LLC
Bozeman, MT 59715-6900

Mailing address

925 Highland Blvd, Suite 1130
Montana Sport and Spine LLC
Bozeman, MT 59715-6900
Phone (406) 522-9067

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
I20050124000515 MT Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports MedicinePractitioner - Pain ManagementPractitioner - Preventive Medicine 5395633127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management, Preventive Medicine, Sports Medicine
Education
University of Utah School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

925 Highland Blvd
Bozeman, MT 59715-6900
Phone (406) 522-9067

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10381MTMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Sport and Spine LLC Pain Medicine CurrentSince May 29, 2004 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Rehabilitation Associates of Colorado PC PastSince Jan 1, 2023 Accepting new patients

Locations

925 Highland Blvd
Ste 1130
Bozeman, MT 59715
Phone (406) 522-9067

Interoperability endpoints

  • Direct secure messaging: baylor@389.securemail.prognocis.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1477645570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND BLVD, SUITE 1130",
            "address_2": "MONTANA SPORT AND SPINE LLC",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156900",
            "telephone_number": "406-522-9067",
            "fax_number": "406-522-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND BLVD, SUITE 1130",
            "address_2": "MONTANA SPORT AND SPINE LLC",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156900",
            "telephone_number": "406-522-9067",
            "fax_number": "406-522-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLOR",
        "first_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MT",
            "license": "10381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.