BAILEY MONTGOMERY PHYSICIAN ASSISTANT NPI 1649793852

NPI Information

  • NPI: 1649793852
  • Provider Name: BAILEY MONTGOMERY, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3952 PARKVIEW DR
    CHEYENNE, WY
    ZIP 82001
  • Phone: (307) 637-7700

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NPI Details

Bailey Montgomery, PHYSICIAN ASSISTANT is a medical physician assistant in Cheyenne, WY with 9 years of experience. Bailey Montgomery, PHYSICIAN ASSISTANT NPI is 1649793852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3952 PARKVIEW DR
CHEYENNE, WY
ZIP 82001
Phone: (307) 637-7700

The NPI 1649793852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/21/2022.

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
1363AM0700XPhysician AssistantMedicalPA54548No
2363AM0700XPhysician AssistantMedicalPT800WYOMINGYes

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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