Healthcare Provider Details
I. General information
NPI: 1275952269
Provider Name (Legal Business Name): MACGREGOR BROWNLOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2014
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US
IV. Provider business mailing address
915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US
V. Phone/Fax
- Phone: 406-414-1671
- Fax:
- Phone: 406-414-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MED-PHYS-LIC-56473 |
| License Number State | MT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 56473 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: