Bradley Lawrence Kasavana, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

45528 Issued in MT

Practice address

2002 Hospital Way
Whitefish, MT 59937-7858

Phone

(406) 314-0010

Fax

(406) 862-9978

NPI assigned

Jun 20, 2011

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1700172665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377858",
            "telephone_number": "406-862-6436",
            "fax_number": "406-862-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOSPITAL WAY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377858",
            "telephone_number": "406-314-0010",
            "fax_number": "406-862-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Sunnyview Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013128",
            "country_code": "US",
            "telephone_number": "406-752-5252",
            "fax_number": "406-752-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASAVANA",
        "first_name": "BRADLEY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "45528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalispell Regional Medical Center Inc (Northwest Specialty Clinics)
• Kalispell Regional Medical Center Inc (Glacier Oral and Maxillofacial Surgery)
• Kalispell Regional Medical Center, Inc (Logan Health Imaging- 1111 Baker)
• Kalli D Elford, DMD, PC
• Keythe Karpinski, LAC
• Linda Reiko Katsuda, LMT
• Heidi Kearns, FNP
• Alexander Kelly, LMT
• John Kim, M.D.
• Jamie Kimball, LAC

• Obstetrics & Gynecology Physician in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.