Active NPI
DTG II PLLC
- Family Medicine Physician
- Bozeman, MT
National Provider Identifier
1891475182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DTG II PLLC
- Doing business as
- DTG II PLLC
- Practice address
- 5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566 - Phone
- (800) 268-7713
- Fax
- (415) 704-3294
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- Organization subpart
- Yes
- Parent organization
- DTG II PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Bernard, MD
- Title
- President
- Phone
- (800) 268-7713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Mailing address
811 E Kent Rd
Greenville, MI 48838-9791
Phone (800) 268-7713
Other names 1
- DTG II PLLC
National Provider Directory
National Provider Directory- Tax ID family
- DTG II PLLC
- Part of
- DTG II PLLC
Other organizations with this tax ID 48
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1891475182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E KENT RD",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389791",
"telephone_number": "800-268-7713",
"fax_number": "415-704-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W MENDENHALL ST STE 202",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153566",
"telephone_number": "800-268-7713",
"fax_number": "415-704-3294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DTG II PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DTG II PLLC",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "BERNARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-268-7713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DTG II PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 20, 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.