Active NPI
Royce G Pyette, M.D.
- Sports Medicine (Family Medicine) Physician
- Bozeman, MT
National Provider Identifier
1982686804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 8251
- Practice address
- 1450 Ellis St
Suite 201
Bozeman, MT 59715-8812 - Phone
- (406) 587-0122
- Fax
- (406) 587-5548
- NPI assigned
- Nov 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 8251 | MT | Primary |
Addresses
Primary practice location
1450 Ellis St
Suite 201
Bozeman, MT 59715-8812
Mailing address
1450 Ellis St
Suite 201
Bozeman, MT 59715-8812
Phone (406) 587-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53313 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corey B Johnson MD PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
- Logan, UT
- NPI 1114115763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1982686804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-587-0122",
"fax_number": "406-587-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-587-0122",
"fax_number": "406-587-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYETTE",
"first_name": "ROYCE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MT",
"license": "8251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53313",
"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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.