Active NPI
Bronwyn Elizabeth Bacon, N.D.
- Naturopath
- Bozeman, MT
National Provider Identifier
1740586346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT 60200616
- Practice address
- 801 W Main St
1C
Bozeman, MT 59715-3336 - Phone
- (406) 219-3631
- Fax
- (406) 760-1809
- NPI assigned
- Jan 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT 60200616 | WA | Primary |
Addresses
Primary practice location
801 W Main St
1C
Bozeman, MT 59715-3336
Mailing address
801 W Main St
1C
Bozeman, MT 59715-3336
Phone (406) 219-3631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT 60200616 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Health, LLC | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Naturopath
- Bozeman, MT
- NPI 1922454438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1740586346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W MAIN ST",
"address_2": "1C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153336",
"telephone_number": "406-219-3631",
"fax_number": "406-760-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W MAIN ST",
"address_2": "1C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153336",
"telephone_number": "406-219-3631",
"fax_number": "406-760-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "BRONWYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT 60200616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.