Dr Brott & Associates OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

577 Issued in MT

Legal business name

DR BROTT & ASSOCIATES OD PC

Practice address

4000 US Highway 93 S
Missoula, MT 59804-7347

Phone

(406) 251-3679

Fax

(406) 251-3715

NPI assigned

Mar 17, 2006

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heidi G Brott, ODNPI 1144482548

Title

Owner Optometrist

Phone

(406) 251-3679

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Heidi Gail Brott, O.D.

  • Optometrist
  • Missoula, MT
  • NPI 1144482548
  Authorized official Same address or phone

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1801855044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 US HIGHWAY 93 S",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047347",
            "telephone_number": "406-251-3679",
            "fax_number": "406-251-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 US HIGHWAY 93 S",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047347",
            "telephone_number": "406-251-3679",
            "fax_number": "406-251-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BROTT & ASSOCIATES OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BROTT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "406-251-3679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484120",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Missoula, MT
• Providers in Missoula, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.