Alpine Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10336 Issued in MT

Legal business name

ALPINE FAMILY MEDICINE PC

Practice address

734 9TH St W
Suite 12
Columbia Falls, MT 59912-3859

Phone

(406) 892-1011

Fax

(406) 892-2108

NPI assigned

Mar 7, 2007

Last updated

Aug 26, 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

Derek GedlamanNPI 1902895329

Title

Ceo

Phone

(406) 892-1011

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

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.

• Derek Allan Gedlaman, DO

  • Family Medicine Physician
  • Columbia Falls, MT
  • NPI 1902895329
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Ann Coloff

  • Family Nurse Practitioner
  • Columbia Falls, MT
  • NPI 1205094398
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1861523649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 9TH ST W",
            "address_2": "SUITE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123859",
            "telephone_number": "406-892-1011",
            "fax_number": "406-892-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 9TH ST W",
            "address_2": "SUITE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123859",
            "telephone_number": "406-892-1011",
            "fax_number": "406-892-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "GEDLAMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-892-1011"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alive and Well
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• Megan McKenzie Andersen
• Cheyenne Mason Apeland, PHARMD
• Sam Ashe
• Hailey Axberg, DC
• Brittney Balbas, M.S., OTR/L

• Family Medicine Physician in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.