NPI 1083626832 · live from the CMS NPI Registry
Alpine Orthopedics & Sports Medicine
Orthopaedic Surgery, Sports Medicine in Bozeman, MT. National Provider Identifier 1083626832, active.
NPI record
| NPI | 1083626832 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 536 Cottonwood Rd, Suite 100, Bozeman, MT 59718 |
| Practice phone | 406-586-8029 |
| Enumerated | August 12, 2006 |
| Last updated | October 27, 2011 |
| Authorized official | Mark Deibert, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | 8221 (MT) |
| Family Medicine, Sports Medicine | 207QS0010X | — |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Physician Assistant, Surgical | 363AS0400X | — |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.