Organization Active NPI

Bozeman Foot and Ankle Clinic P.C.

  • Foot Surgery Podiatrist
  • Bozeman, MT
National Provider Identifier
1891817011
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
129 Issued in 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
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Brenda Naranjo
Title
Practice Manager
Phone
(406) 587-8478

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Foot Surgery Podiatrist 213ES0131X 129 MT Primary

Addresses

Primary practice location

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

Mailing address

1050 E Main St Ste 2
Bozeman, MT 59715-3823
Phone (406) 587-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000749 MT Part B Supplier - Clinic/Group Practice 3173515673 Receives reassigned benefits from 2 practitioners
Practice locations: Bozeman, MT
O20100930082265 MT DME Supplier - Physician - Podiatry 3173515673 Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "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": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MT",
            "license": "129",
            "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 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.