Bozeman Foot and Ankle Clinic P.C.

Key facts

NPI

1891817011

Entity type

Organization (NPI type 2)

Primary specialty

Foot Surgery Podiatrist 213ES0131X

License

129 (MT)

Legal business name

BOZEMAN FOOT AND ANKLE CLINIC P.C.

Practice address

1050 E Main St Ste 2
Bozeman, MT 59715-3823

Phone

(406) 587-8478

Fax

(406) 582-0730

NPI assigned

Apr 6, 2007

Organization subpart

No

Authorized official

Name

Brenda Naranjo

Title

Practice Manager

Phone

(406) 587-8478

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tod Russell Storm, DPM Foot Surgery Podiatrist · Bozeman, MT · NPI 1437258209
  Medicare reassignment Care Compare group NPD MT · PODIATRIST
• William Mann Wilshire IV, DPM Foot Surgery Podiatrist · Bozeman, MT · NPI 1881780179
  Medicare reassignment Care Compare group MT
• Ryan James Larsen Foot & Ankle Surgery Podiatrist · Bozeman, MT · NPI 1972103885
  NPD (past) SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MT

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2025.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1891817011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E MAIN ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153823",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E MAIN ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153823",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN FOOT AND ANKLE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "NARANJO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-587-8478"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MT",
            "license": "129",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bozeman, MT · Foot Surgery Podiatrist in Montana