Healthcare Provider Details

I. General information

NPI: 1316763600
Provider Name (Legal Business Name): BP HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N 27TH ST STE E
BILLINGS MT
59101-0100
US

IV. Provider business mailing address

1101 N 27TH ST STE E
BILLINGS MT
59101-0100
US

V. Phone/Fax

Practice location:
  • Phone: 406-606-5491
  • Fax:
Mailing address:
  • Phone: 406-606-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARLES MARTIN PLISHKA
Title or Position: CO-OWNER
Credential: PT, DPT, NCS
Phone: 225-252-9332