Jeffrey A Daniels, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

7420 Issued in MT

Practice address

100 Beaverhead Trail
Big Sky, MT 59716-0609

Phone

(406) 995-2797

Fax

(406) 995-2965

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bozeman Health Convenience Care, LLC

  • Clinic/Center
  • Bozeman, MT
  • NPI 1750890232
  Medicare reassignment NPD
• Bozeman Health Urgent Care

  • Urgent Care Clinic/Center
  • Bozeman, MT
  • NPI 1740693761
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942224779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BEAVERHEAD TRAIL",
            "address_2": "PO BOX 160609",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597160609",
            "telephone_number": "406-995-2797",
            "fax_number": "406-995-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BEAVERHEAD TRAIL",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "597160609",
            "telephone_number": "406-995-2797",
            "fax_number": "406-995-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "7420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "08041",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Matthew Campoli, PT
• Stacey Richelle Cannon, MASSAGE THERAPIST
• Anna Rowena Carl, MD
• Eileen Coil, OTR/L, MOT
• Joshua Daniel, D.P.T.
• Jessica Elizabeth Dirienzo
• Maren J Dunn, DO
• Excelsior Holdings (Big Sky Counseling Services)
• Amanda Jo Farmer, PA-C
• Amy Helene Frey, CNM

• General Practice Physician in Big Sky, MT
• Providers in Big Sky, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.