Legacy Pain & Anesthesia Services

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LEGACY PAIN & ANESTHESIA SERVICES

Practice address

5190 Copeland LN
Bozeman, MT 59715-8763

Phone

(832) 444-0150

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Perry Jr., DNP, CRNA

Title

Ceo

Phone

(832) 444-0150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1841998440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 COPELAND LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158763",
            "telephone_number": "832-444-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 COPELAND LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158763",
            "telephone_number": "832-444-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PAIN & ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-444-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Anesthesiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.