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NPI Code Detail

MEDICARE: BRIDGER ORTHOPEDICS AND SPORTS MEDICINE, PC

MEDICARE: BRIDGER ORTHOPEDICS AND SPORTS MEDICINE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1750310926
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGER ORTHOPEDICS AND SPORTS MEDICINE, PC
Provider Business Mailing Address
First Line : 1450 ELLIS ST
Second Line : SUITE 201
City : BOZEMAN
State : MT
Zip : 59715-8812
Country : US
Telephone Number : 406-587-0122
Fax Number : 406-587-5548
Provider Business Practice Location Address
First Line : 3400 LARAMIE DR
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-2005
Country : US
Telephone Number : 406-587-0122
Fax Number : 844-656-2480
Authorized Official
Title or Position : CFO
Name : JENNY FORDER
Credential :
Telephone Number : 406-556-9110
Provider Enumeration Date : 07/01/2006
Last Update Date : 01/11/2024

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Directions to “BRIDGER ORTHOPEDICS AND SPORTS MEDICINE, PC ” Practice Location

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