NPI 1619347390 · live from the CMS NPI Registry
Bozeman Health Deaconess Hospital
Family Medicine in Bozeman, MT. National Provider Identifier 1619347390, active.
NPI record
| NPI | 1619347390 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 915 Highland Blvd, Bozeman, MT 59715 |
| Practice phone | 406-414-5000 |
| Enumerated | October 7, 2015 |
| Last updated | April 29, 2026 |
| Authorized official | Bradley Ludford, Cfo |
| Other names | Bozeman Health Deaconess Hospital-Clinics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 2084B0040X | — |
| Physical Therapist | 225100000X | — |
| Urology | 208800000X | — |
| Nutritionist | 133N00000X | — |
| Allergy & Immunology | 207K00000X | — |
| Internal Medicine | 207R00000X | — |
| Family Medicine, Bariatric Medicine | 207QB0002X | — |
| Hospitalist | 208M00000X | — |
| Pediatrics | 208000000X | — |
| Sleep Specialist, PhD | 173F00000X | — |
| 208VP0000X | — | |
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Audiologist | 231H00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.