BRIAN KOMM DPM PC NPI 1417132820

NPI Information

NPI: 1417132820
Provider Name: BRIAN KOMM DPM PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
3215 OTTAWA ST
BUTTE, MT
ZIP 59701
Phone: (406) 723-7990
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BRIAN KOMM DPM PC is a primary podiatric medicine podiatrist in Butte, MT. BRIAN KOMM DPM PC NPI is 1417132820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3215 OTTAWA ST
BUTTE, MT
ZIP 59701-539
Phone: (406) 723-7990
Fax: (406) 723-0080

The provider's authorized official is Brian D Komm .
The authorized official title is President and has the following contact phone number (406) 723-7990.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 2/4/2008.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	147	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	4476740001	MEDICARE NSC	MONTANA
2	U75457	MEDICARE UPIN	MONTANA
3	0000390558	MEDICAID	MONTANA
4	018841	OTHER	MONTANA	BCBS

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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