NPIMap

Individual provider Active NPI

Derek Allan Gedlaman, DO

  • Family Medicine Physician
  • Columbia Falls, MT
National Provider Identifier
1902895329
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10336 Issued in MT
Practice address
734 9TH St W
Suite 12
Columbia Falls, MT 59912-3859
Phone
(406) 892-1011
Fax
(406) 892-2108
NPI assigned
Oct 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10336 MT Primary

Addresses

Primary practice location

734 9TH St W
Suite 12
Columbia Falls, MT 59912-3859

Mailing address

734 9TH St W
Suite 12
Columbia Falls, MT 59912-3859
Phone (406) 892-1011

Other identifiers 1

IdentifierTypeStateIssuer
00069734MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000667 MT Practitioner - Family Practice 2466446661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians
Alpine Family Medicine PCGroup PAC ID 7416943451, 2 clinicians

Practice addresses (Care Compare)

1675 Talbot Rd
Columbia Falls, MT 59912-4569
Phone (406) 892-3208

734 9TH St W
Suite 12
Columbia Falls, MT 59912-3858
Phone (406) 892-1011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10336MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish Family Medicine CurrentSince Nov 15, 2015 Accepting new patients
Logan Health - Whitefish CurrentSince Nov 15, 2015 Accepting new patients
Logan Health - Whitefish CurrentSince Nov 15, 2015 Accepting new patients
Alpine Family Medicine PC Family Medicine CurrentSince Sep 1, 2003 Accepting new patients
Alpine Family Medicine Family Medicine Past Accepting new patients
Northern Pines Rehabilitation and Nursing Past Accepting new patients
Logan Health - Whitefish Past Accepting new patients
Immanuel Lutheran Corporation Past Accepting new patients
Kalispell Rehabilitation and Nursing LLC Past Accepting new patients
Lakeview Rehabilitation and Nursing LLC Past Accepting new patients

Locations

1675 Talbot Rd
Columbia Falls, MT 59912
Phone (406) 892-1411

734 9th St W
Ste 12
Columbia Fls, MT 59912
Phone (406) 471-2022

304 Osloski Rd
Eureka, MT 59917
Phone (406) 297-2438

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kalispell Rehabilitation and Nursing LLCKalispell, MT, CCN 275025 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
May 2, 2025
Lakeview Rehabilitation and NursingBigfork, MT, CCN 275160 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 29, 2024
Apr 8, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902895329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 9TH ST W",
            "address_2": "SUITE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123859",
            "telephone_number": "406-892-1011",
            "fax_number": "406-892-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 9TH ST W",
            "address_2": "SUITE 12",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123859",
            "telephone_number": "406-892-1011",
            "fax_number": "406-892-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDLAMAN",
        "first_name": "DEREK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00069734",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

Verify at the official NPI Registry.