NPIMap

Organization Active NPI

Bozeman Health Convenience Care, LLC

  • Clinic/Center
  • Bozeman, MT
National Provider Identifier
1750890232
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BOZEMAN HEALTH CONVENIENCE CARE, LLC
Practice address
1805 Oak St Ste 3
Bozeman, MT 59715-8847
Phone
(406) 414-4890
Fax
(406) 414-4894
NPI assigned
Sep 27, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Bradley Ludford
Title
Cfo
Phone
(406) 414-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1805 Oak St Ste 3
Bozeman, MT 59715-8847

Mailing address

Attention: Compliance
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-5552

Other practice location 1

7715 Shedhorn Dr Ste 2B
Bozeman, MT 59718-7562
Phone (406) 414-4870

Other names 1

  • b2 MicroCare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180227002551 MT Part B Supplier - Clinic/Group Practice 6608137096 Receives reassigned benefits from 37 practitioners
Practice locations: Bozeman, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2141719Bozeman Health Convenience Care, LLC1805 West Oak Street, Suite 3, Bozeman, MT 59715Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890

7715 Shedhorn Dr
Ste 2B
Bozeman, MT 59718
Phone (406) 414-4870

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1750890232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTENTION: COMPLIANCE",
            "address_2": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-414-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 OAK ST STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158847",
            "telephone_number": "406-414-4890",
            "fax_number": "406-414-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7715 Shedhorn Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597187562",
            "country_code": "US",
            "telephone_number": "406-414-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOZEMAN HEALTH CONVENIENCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "LUDFORD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-414-1036"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "b2 MicroCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.