Wellformed AI

NPI 1053762583 · live from the CMS NPI Registry

Daniel Craig Bothwell, D.O.

Family Medicine in Helena, MT. National Provider Identifier 1053762583, active.

NPI record

NPI1053762583 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1645 Vandelay Ave Ste 301, Helena, MT 59601
Practice phone406-389-2520
Mailing addressPo Box 6010, Great Falls, MT 59406
EnumeratedJune 27, 2016
Last updatedSeptember 4, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X101294 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.