Individual provider Active NPI

Brandy Colvin

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1730796699
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
161418 Issued in MT
Practice address
709 N Aster Ave
Bozeman, MT 59718-6991
Phone
(307) 413-4774
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 161418 MT Primary

Addresses

Primary practice location

709 N Aster Ave
Bozeman, MT 59718-6991

Mailing address

709 N Aster Ave
Bozeman, MT 59718-6991
Phone (307) 413-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210621003378 MT Practitioner - Nurse Practitioner 8224438718 Reassigns benefits to 1 organization
I20260312003358 NC Practitioner - Nurse Practitioner 8224438718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22406 68TH Ave W
Mountlake Terrace, WA 98043-2372

4 Willow View Dr
Mills River, NC 28759-6503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
161418MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Susanna Turner Aprn PLLC CurrentSince Aug 24, 2022 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Family CurrentSince Jan 26, 2026 Accepting new patients

Locations

1871 S 22nd Ave
Ste 3
Bozeman, MT 59718
Phone (406) 404-6814

5000 Centre Green Way
Ste 500
Cary, NC 27513
Phone (201) 676-2579

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1730796699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N ASTER AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186991",
            "telephone_number": "307-413-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N ASTER AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186991",
            "telephone_number": "307-413-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "BRANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "161418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.