MR. BRADLEY ROBERTS ACNP-BC NPI 1649277237

NPI Information

NPI: 1649277237
Provider Name: MR. BRADLEY ROBERTS, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
5340 LEITH DR
BILLINGS, MT
ZIP 59106
Phone: (406) 702-5538
Get Directions

MR. Bradley Roberts, ACNP-BC is an acute care nurse practitioner in Billings, MT. MR. Bradley Roberts, ACNP-BC NPI is 1649277237. 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:

5340 LEITH DR
BILLINGS, MT
ZIP 59106-010
Phone: (406) 702-5538

The enumeration date for this NPI number is 6/28/2005 and was last updated on 3/3/2022.

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	163W00000X	Registered Nurse		NUR-RN-LIC-23565	MONTANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	RN23565	MONTANA	No
3	363LA2100X	Nurse Practitioner	Acute Care	NUR-APRN-100295	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	MR1141275	OTHER	MONTANA	DEA NUMBER
2	121017300	OTHER	WYOMING	MDCD PIN
3	000374780	OTHER	MONTANA	BCBS PIN
4	4305896	OTHER	MONTANA	MDCD PIN

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: 11/14/2023

NPI Synchronization or Removal

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