BRYAN S MCDANIEL PAC NPI 1225011646

NPI Information

NPI: 1225011646
Provider Name: BRYAN S MCDANIEL, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1450 ELLIS ST
SUITE 201
BOZEMAN, MT
ZIP 59715
Phone: (406) 587-0122
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Bryan S Mcdaniel, PAC is a medical physician assistant in Bozeman, MT. Bryan S Mcdaniel, PAC NPI is 1225011646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1450 ELLIS ST
SUITE 201
BOZEMAN, MT
ZIP 59715-812
Phone: (406) 587-0122
Fax: (406) 587-5548

The enumeration date for this NPI number is 11/21/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	264	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P39279	MEDICARE UPIN	MONTANA
2	437920	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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