Provider Type Icon

KEVIN CURTIS SULLIVAN MD NPI 1750523775


NPI Information

NPI: 1750523775
Provider Name: KEVIN CURTIS SULLIVAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BOZEMAN HEALTH BIG SKY MEDICAL CENTER LLC

PECOS Registration: Yes

Address:
334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59715
Phone: (406) 995-6995
Get Directions

Kevin Curtis Sullivan, MD is a family medicine in Big Sky, MT with 15 years of experience. 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. Kevin Curtis Sullivan, MD NPI is 1750523775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59715-713
Phone: (406) 995-6995

The NPI 1750523775 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 4/6/2009 and was last updated on 7/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMED-PHYS-LIC-69275MONTANAYes
2207Q00000XFamily Medicine14803NORTH DAKOTANo
3208M00000XHospitalist14803NORTH DAKOTANo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750523775MEDICAIDMONTANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.