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NPI Code Detail

MEDICARE: TIMOTHY O'BRIEN MD

MEDICARE:   TIMOTHY  O'BRIEN  MD
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician10407MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195335OTHERMTBCBSMT
21194070001OTHERMTCIGNA DME
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922008374
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY O'BRIEN MD
Provider Business Mailing Address
First Line : 536 COTTONWOOD RD
Second Line : SUITE 100
City : BOZEMAN
State : MT
Zip : 59718
Country : US
Telephone Number : 406-586-8029
Fax Number : 406-586-8009
Provider Business Practice Location Address
First Line : 536 COTTONWOOD RD
Second Line : SUITE 100
City : BOZEMAN
State : MT
Zip : 59718
Country : US
Telephone Number : 406-586-8029
Fax Number : 406-586-8009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 10/27/2011

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Directions to “ TIMOTHY O'BRIEN MD” Practice Location

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