Bigfork Medical Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4682 Issued in MT

Legal business name

BIGFORK MEDICAL CLINIC, PC

Practice address

8299 Mt Highway 35
Bigfork, MT 59911-3583

Phone

(406) 837-5541

Fax

(406) 837-5543

NPI assigned

Apr 10, 2007

Last updated

Nov 5, 2007By 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. Thomas G Jenko, MDNPI 1851353965

Title

President

Phone

(406) 837-5541

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• Thomas G Jenko, MD

  • Family Medicine Physician
  • Bigfork, MT
  • NPI 1851353965
  NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1871716936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8299 MT HIGHWAY 35",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599113583",
            "telephone_number": "406-837-5541",
            "fax_number": "406-837-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8299 MT HIGHWAY 35",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599113583",
            "telephone_number": "406-837-5541",
            "fax_number": "406-837-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGFORK MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "JENKO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-837-5541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067171",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149345",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF MONTANA",
            "identifier": "92136",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF MONTANA",
            "identifier": "16140",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bigfork Family Chiropractic LLC
• Bigfork Family Practice LLC (Bigfork Family Practice)
• Bigfork Family Practice LLC
• Bigfork Fire District
• Bigfork Health and Wellness Inc
• Bigfork Physical Therapy & Sports Rehabilitation Inc
• Bigfork Qru & Vol Amb (Bigfork Volunteer Ambulance)
• Bigfork School District 38
• Debra May Bloomfield, LMT
• Starr Brown, DPT

• Family Medicine Physician in Bigfork, MT
• Providers in Bigfork, 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 Nov 5, 2007; 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.