BOZEMAN PRIMARY CARE PLLC NPI 1477020824

NPI Information

  • NPI: 1477020824
  • Provider Name: BOZEMAN PRIMARY CARE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BOZEMAN PRIMARY CARE
  • CLIA Number: 27D2159316
  • Address: 4535 VALLEY COMMONS DR STE 104
    BOZEMAN, MT
    ZIP 59718
  • Phone: (406) 404-1525

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NPI Details

BOZEMAN PRIMARY CARE PLLC is a family medicine in Bozeman, MT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOZEMAN PRIMARY CARE PLLC NPI is 1477020824. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bozeman Primary Care.

The provider's business location address is:

4535 VALLEY COMMONS DR STE 104
BOZEMAN, MT
ZIP 59718-160
Phone: (406) 404-1525

The provider's authorized official is Terry Scott Edwards .
The authorized official title is Owner and has the following contact phone number (406) 404-1525.

The CLIA number assigned to this NPI record is 27D2159316 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 6/17/2019.

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
1207Q00000XFamily MedicineYes

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
18210759MEDICAIDMONTANA

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: 11/21/2025

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