Healthcare Provider Details

I. General information

NPI: 1518949270
Provider Name (Legal Business Name): BRADFORD P. WHITCOMB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 01/13/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101-0905
US

IV. Provider business mailing address

BILLINGS CLINIC CANCER CENTER 801 N. 29TH STREET
BILLINGS MT
59101
US

V. Phone/Fax

Practice location:
  • Phone: 406-435-7340
  • Fax: 406-435-7349
Mailing address:
  • Phone: 406-435-7340
  • Fax: 406-435-7349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2002012320
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number055981
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number128973
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: