Healthcare Provider Details

I. General information

NPI: 1245164417
Provider Name (Legal Business Name): PRIMARY CARING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E MAIN ST STE B
BOZEMAN MT
59715-3894
US

IV. Provider business mailing address

1010 E MAIN ST STE B
BOZEMAN MT
59715-3894
US

V. Phone/Fax

Practice location:
  • Phone: 406-404-3540
  • Fax:
Mailing address:
  • Phone: 406-404-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DEKRISHA LEW
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 406-404-3540