Individual provider Active NPI

Joseph J Sofianek, MD

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1568494052
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8259 Issued in MT
Practice address
875 S Cottonwood Rd Ste 300
Bozeman, MT 59718-4221
Phone
(406) 414-4100
Fax
(406) 414-4768
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8259 MT Primary

Addresses

Primary practice location

875 S Cottonwood Rd Ste 300
Bozeman, MT 59718-4221

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
100606MedicaidMT
14301OtherMTBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsofianek7291532@direct.sanfordhealth.org Direct

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
I20080121000136 MT Practitioner - Family Practice 7517926181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jenner Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

935 Highland Blvd
Suite 2200
Bozeman, MT 59715-6915
Phone (406) 414-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8259MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belgrade Clinic PLLP Family Medicine Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2016 Accepting new patients
Bozeman Health Deaconess Hospital Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hallie Bornstein Banziger PHD LLC Past Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3220
Bozeman, MT 59715
Phone (406) 414-5336

875 S Cottonwood Rd
Ste 300
Bozeman, MT 59718
Phone (406) 414-4100

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

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

Organizations & group practices 6

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 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1568494052",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S COTTONWOOD RD STE 300",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184221",
            "telephone_number": "406-414-4100",
            "fax_number": "406-414-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFIANEK",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "8259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100606",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14301",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsofianek7291532@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "935 Highland Blvd Ste 2200",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.