Organization Active NPI

Bridger Psychiatric Services PC

  • Psychiatry Physician
  • Bozeman, MT
National Provider Identifier
1902075419
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIDGER PSYCHIATRIC SERVICES PC
Practice address
2 Stagecoach Dr
Bozeman, MT 59715-9287
Phone
(406) 586-5511
Fax
(406) 586-4713
NPI assigned
Feb 28, 2008
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Kenneth Olson, MDNPI 1407927510
Title
Owner
Phone
(406) 586-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2 Stagecoach Dr
Bozeman, MT 59715-9287

Mailing address

2 Stagecoach Dr
Bozeman, MT 59715-9287
Phone (406) 586-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000955 MT Part B Supplier - Clinic/Group Practice 3678477700 Receives reassigned benefits from 2 practitioners
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

2040 N 22nd Ave
Ste 2
Bozeman, MT 59718
Phone (406) 586-5511

931 Highland Blvd
Ste 3340
Bozeman, MT 59715
Phone (406) 586-5511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19279/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1902075419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STAGECOACH DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159287",
            "telephone_number": "406-586-5511",
            "fax_number": "406-586-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STAGECOACH DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159287",
            "telephone_number": "406-586-5511",
            "fax_number": "406-586-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGER PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-586-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "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 Oct 28, 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.