NPI 1477627982 · live from the CMS NPI Registry
Jace A Bird, DO
Family Medicine in Fort Benton, MT. National Provider Identifier 1477627982, active.
NPI record
| NPI | 1477627982 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1203 15th St, Fort Benton, MT 59442 |
| Practice phone | 406-622-5485 |
| Enumerated | November 17, 2006 |
| Last updated | January 28, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 12468 (MT) |
| Family Medicine | 207Q00000X | 45865 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.