Healthcare Provider Details

I. General information

NPI: 1730458316
Provider Name (Legal Business Name): ALEX JOHN RUGINO D. O., PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 N 29TH ST
BILLINGS MT
59101-0731
US

IV. Provider business mailing address

1041 N 29TH ST
BILLINGS MT
59101-0731
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5577
  • Fax: 406-237-5575
Mailing address:
  • Phone: 406-237-5577
  • Fax: 406-237-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number1730458316
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: