NPI 1386808301 · live from the CMS NPI Registry
Brent S Harberts, OD
Optometrist in Bozeman, MT. National Provider Identifier 1386808301, active.
NPI record
| NPI | 1386808301 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1500 N 7th Ave, Bozeman, MT 59715 |
| Practice phone | 406-585-8153 |
| Enumerated | July 18, 2008 |
| Last updated | November 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 18003528A (IN) |
| Optometrist primary | 152W00000X | 1942 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.