Active NPI
Bradley Kevin Coots, MD
- Plastic Surgery Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MED-PHYS-LIC-76243
- Practice address
- 500 W Broadway St FL 4
Missoula, MT 59802-4008 - Phone
- (406) 329-5866
- Fax
- (406) 329-5864
- NPI assigned
- Aug 25, 2006
- Last updated
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 39703 | IA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 27081 | NE | |
| Plastic Surgery Physician | 208200000X | 9162 | SD | |
| Plastic Surgery Physician | 208200000X | MED-PHYS-LIC-76243 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St FL 4
Missoula, MT 59802-4008
Mailing address
PO Box 31001-4110
Pasadena, CA 91110-4110
Phone (406) 327-3199
Other practice location 1
1500 W 22nd St Ste 101
Sioux Falls, SD 57105-1503
Phone (605) 328-0000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 N Orange St
Missoula, MT 59802-2951
Phone (406) 327-3199
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 41 |
| Melanoma (skin cancer) excision | 37 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9162 | SD | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Microsurgical Transplantation Research Foundation | Past | Accepting new patients | |
| Plastic Surgery Northwest PLLC | Plastic Surgery | Past | Accepting new patients |
Locations
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559
2835 Fort Missoula Rd
Ste 205
Missoula, MT 59804
Phone (406) 542-0391
500 W Broadway St
Fl 4
Missoula, MT 59802
Phone (406) 327-1900
500 W Broadway St
Ste 320
Missoula, MT 59802
900 N Orange St
Ste 205
Missoula, MT 59802
Phone (406) 327-1950
Interoperability endpoints
- bcoots@direct.communitymed.org
- bcoots3572031@wm.providencedirect.org
Organizations & group practices 8
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.
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Cardiovascular Disease Physician
- Helena, MT
- NPI 1871750646
-
dba Community Medical Center
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
-
dba Community Physician Group
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
- Surgery of the Hand (Surgery) Physician
- San Francisco, CA
- NPI 1669462487
-
- Plastic Surgery Physician
- Spokane, WA
- NPI 1780714139
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1972611481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-4110",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104110",
"telephone_number": "406-327-3199",
"fax_number": "406-327-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST FL 4",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-5866",
"fax_number": "406-329-5864"
}
],
"practiceLocations": [
{
"address_1": "1500 W 22nd St Ste 101",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571051503",
"country_code": "US",
"telephone_number": "605-328-0000",
"fax_number": "605-328-0001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOTS",
"first_name": "BRADLEY",
"middle_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IA",
"license": "39703",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NE",
"license": "27081",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "SD",
"license": "9162",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MT",
"license": "MED-PHYS-LIC-76243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.