NPI 1134342421 · live from the CMS NPI Registry
Bradley P Kepp OD PC
Optometrist in Dillon, MT. National Provider Identifier 1134342421, active.
NPI record
| NPI | 1134342421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 25 Johnson Ave, Dillon, MT 59725 |
| Practice phone | 406-683-2020 |
| Enumerated | April 11, 2007 |
| Last updated | June 19, 2015 |
| Authorized official | Bradley Kepp, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 721OPT (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.