Organization Active NPI

Bozeman Creek Family Health, PLLC

  • Legal Medicine
  • Bozeman, MT
National Provider Identifier
1871685198
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
BOZEMAN CREEK FAMILY HEALTH, PLLC
Practice address
316 E Babcock St
Bozeman, MT 59715-4710
Phone
(406) 585-0022
NPI assigned
Sep 28, 2006
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Andrea Cady, M.D.NPI 1043369614
Title
Partner
Phone
(406) 585-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

316 E Babcock St
Bozeman, MT 59715-4710

Mailing address

316 E Babcock St
Bozeman, MT 59715-4710
Phone (406) 585-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405000632 MT Part B Supplier - Clinic/Group Practice 5890742571 Receives reassigned benefits from 14 practitioners
Practice locations: Bozeman, MT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D1037916Bozeman Creek Family Health316 E Babcock, Bozeman, MT 59715Provider-performed microscopyMar 7, 2027

National Provider Directory

National Provider Directory

Locations

316 E Babcock St
Bozeman, MT 59715
Phone (406) 539-5393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGHCD

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1871685198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154710",
            "telephone_number": "406-585-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154710",
            "telephone_number": "406-585-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN CREEK FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "CADY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "406-585-0022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.