Bridger Chiropractic Clinic, PC

Organization Active NPI Chiropractor · Bozeman, MT

NPI 1821175696 · NPPES record last updated Nov 2, 2012

Key facts

NPI
1821175696
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
BRIDGER CHIROPRACTIC CLINIC, PC
Practice address
517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858
Phone
(406) 587-9122
Fax
(406) 587-9287
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

Name
Mrs. Michelle L Talbot
Title
Office Manager
Phone
(406) 587-9122

National Provider Directory

Locations

517 S 22nd Ave
Ste 7
Bozeman, MT 59718
Phone (406) 586-9122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858

Mailing address

517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858
Phone (406) 587-9122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 2, 2012.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1821175696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S 22ND AVE",
            "address_2": "SUITE 7",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186858",
            "telephone_number": "406-587-9122",
            "fax_number": "406-587-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S 22ND AVE",
            "address_2": "SUITE 7",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186858",
            "telephone_number": "406-587-9122",
            "fax_number": "406-587-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGER CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-587-9122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.