Organization Active NPI

Family Doctors Urgent Care LLC

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1942361860
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY DOCTORS URGENT CARE LLC
Practice address
120 North 19TH
Suite a
Bozeman, MT 59718-3920
Phone
(406) 556-9740
Fax
(406) 556-9741
NPI assigned
Dec 13, 2006
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. David B King, MD
Title
Managing Partner
Phone
(406) 556-9740

Specialties & licenses 1

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

Addresses

Primary practice location

120 North 19TH
Suite a
Bozeman, MT 59718-3920

Mailing address

120 North 19TH
Suite a
Bozeman, MT 59718-3920
Phone (406) 556-9740

Other identifiers 1

IdentifierTypeStateIssuer
1942361860MedicaidMT

National Provider Directory

National Provider Directory

Locations

120 N 19th Ave
Ste A
Bozeman, MT 59718
Phone (406) 556-9740

Practitioners & affiliated clinicians

Practitioners 1

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1942361860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NORTH 19TH",
            "address_2": "SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183920",
            "telephone_number": "406-556-9740",
            "fax_number": "406-556-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NORTH 19TH",
            "address_2": "SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183920",
            "telephone_number": "406-556-9740",
            "fax_number": "406-556-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "406-556-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942361860",
            "state": "MT"
        }
    ],
    "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 Jun 19, 2014; 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.