Healthcare Provider Details

I. General information

NPI: 1548447436
Provider Name (Legal Business Name): BILLINGS ORTHOPEDICS & SPORTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 02/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N SUITE 305E
BILLINGS MT
59101-7506
US

IV. Provider business mailing address

2900 12TH AVE N SUITE 305E
BILLINGS MT
59101-7506
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5750
  • Fax:
Mailing address:
  • Phone: 406-237-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number7149
License Number StateMT

VIII. Authorized Official

Name: DR. JOSEPH M ERPELDING
Title or Position: OWNER
Credential: M.D.
Phone: 406-237-5750