Scott M. Dreblow, PA-C
Individual provider Active NPI Physician Assistant · Bozeman, MT
NPI 1750464467 · NPPES record last updated Feb 3, 2014
Key facts
- NPI
- 1750464467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 387 (MT)
- Practice address
- 300 N. Willson Ave
Suite 703G
Bozeman, MT 59715 - Phone
- (406) 582-5300
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 387 | MT | MD | Mental Health Counselor |
| 4624 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhorn Mountain Health Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 387 | MT | Yes |
Addresses
Primary practice location
300 N. Willson Ave
Suite 703G
Bozeman, MT 59715
Mailing address
219 E. Olive St
Bozeman, MT 59715
Phone (406) 585-3015
Other providers in Bozeman, MT
- Samantha Drab
- Amanda Nicole Dragonette
- Kirsten A Drake
- Mary Drake
- Susanne Draper
- Karie Ann Dreyer
- Chandra Tweet Driggers
- Jenn Driver
- Zuzana Drobnik
- Ashley Nicole Drollinger
All providers in Bozeman, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.