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NPI Code Detail

MEDICARE: MR. BRICE R SUHAY

MEDICARE: MR. BRICE R SUHAY
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
1363A00000XPhysician AssistantMED-PAC-LIC-51331MT
2363AM0700XMedical Physician AssistantMED-PAC-LIC-51331MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891187837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRICE R SUHAY
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-415-5000
Fax Number :
Provider Business Practice Location Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-3334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2015
Last Update Date : 06/17/2026

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Directions to “ MR. BRICE R SUHAY ” Practice Location

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