Healthcare Provider Details

I. General information

NPI: 1497761506
Provider Name (Legal Business Name): WILEY RAY BLAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 KING AVE W
BILLINGS MT
59102-6422
US

IV. Provider business mailing address

630 POLY DR
BILLINGS MT
59102-1934
US

V. Phone/Fax

Practice location:
  • Phone: 406-651-5670
  • Fax:
Mailing address:
  • Phone: 406-259-0354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number3598
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: