Individual provider Active NPI

Justin Clayton Eisel, MD

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1801818356
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-11007 Issued in MT
Practice address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone
(406) 414-5000
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-11007 MT Primary

Addresses

Primary practice location

915 Highland Blvd
Bozeman, MT 59715-6902

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 1

214 E Mendenhall St
Bozeman, MT 59715-3638
Phone (406) 922-0871

Other practice location 2

1006 W Main St
Bozeman, MT 59715-3219
Phone (406) 414-4800

Other identifiers 2

IdentifierTypeStateIssuer
242403MedicaidMT
286927600MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeisel7290989@direct.sanfordhealth.org Direct Bozeman Health Urgent Care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060324000597 MT Practitioner - Family Practice 4486621802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Urgent CareGroup PAC ID 3476879305, 26 clinicians
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

1006 W Main St
Bozeman, MT 59715-3219
Phone (406) 586-8711

206 Alaska Frontage Rd
Belgrade, MT 59714-7909
Phone (406) 414-3334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
77.21
Promoting interoperability
100
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-11007MTMDFamily Medicine Physician
11007MTMDPhysical Therapist
46711MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital Family Medicine Current Accepting new patients
Bozeman Health Urgent Care CurrentSince Jan 1, 2015 Accepting new patients
Field of Dreams PC Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 18, 2018 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 18, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

206 Alaska Frontage Rd
Belgrade, MT 59714
Phone (406) 414-3334

931 Highland Blvd
Ste 3220
Bozeman, MT 59715
Phone (406) 414-5336

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

Interoperability endpoints

  • Direct secure messaging: jeisel7290989@direct.sanfordhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1801818356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Mendenhall St",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153638",
            "country_code": "US",
            "telephone_number": "406-922-0871",
            "fax_number": "406-823-6305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153219",
            "country_code": "US",
            "telephone_number": "406-414-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISEL",
        "first_name": "JUSTIN",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-11007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242403",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286927600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeisel7290989@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Urgent Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1006 W Main St",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597153219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.