NPIMap

Organization Active NPI

Elevate Health, LLC

  • Naturopath
  • Bozeman, MT
National Provider Identifier
1922454438
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
822MT Issued in MT
Legal business name
ELEVATE HEALTH, LLC
Practice address
801 W Main St
#1C
Bozeman, MT 59715-3336
Phone
(406) 219-3631
Fax
(206) 760-1809
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Bronwyn Elizabeth Bacon, NDNPI 1740586346
Title
Member
Phone
(406) 219-3631

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
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 822MT MT Primary

Addresses

Primary practice location

801 W Main St
#1C
Bozeman, MT 59715-3336

Mailing address

801 W Main St
#1C
Bozeman, MT 59715-3336
Phone (406) 219-3631

National Provider Directory

National Provider Directory

Locations

801 W Main St
Ste 1C
Bozeman, MT 59715
Phone (406) 219-3631

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1922454438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "address_2": "#1C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153336",
            "telephone_number": "406-219-3631",
            "fax_number": "206-760-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "address_2": "#1C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153336",
            "telephone_number": "406-219-3631",
            "fax_number": "206-760-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "BRONWYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-219-3631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "MT",
            "license": "822MT",
            "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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.