BOZEMAN SPORT AND SPINE LLC – NPI #1013004241
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

BOZEMAN SPORT AND SPINE LLC is a provider located in BOZEMAN, MT. NPPES has assigned the NPI number 1013004241 to BOZEMAN SPORT AND SPINE LLC on October 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOZEMAN SPORT AND SPINE LLC” is a dba name, the actual legal business name for this organization is MONTANA SPORT AND SPINE LLC. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 13 years ago on Jul 23, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOZEMAN SPORT AND SPINE LLC below.

NPI Profile for
MONTANA SPORT AND SPINE LLC

NPI Number
1013004241
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTANA SPORT AND SPINE LLC
Doing Business As (dba): BOZEMAN SPORT AND SPINE LLC
Primary location
925 HIGHLAND BLVD, SUITE 1130
BOZEMAN SPORT AND SPINE LLC
BOZEMAN, MT 59715-6900
Phone: (406) 522-9067 Fax: (406) 522-9074
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRADLEY AYLOR
PROPRIETER
Phone: (406) 522-9067
Updated
Identifiers

Identifiers for BOZEMAN SPORT AND SPINE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMT000099205
OTHERRAILROAD MEDICAREMTDC7699
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.