Healthcare Provider Details
I. General information
NPI: 1407300619
Provider Name (Legal Business Name): BIG SKY FOOT & ANKLE INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2016
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 S ALABAMA ST STE 10
BUTTE MT
59701-2358
US
IV. Provider business mailing address
401 S ALABAMA ST STE 10
BUTTE MT
59701-2358
US
V. Phone/Fax
- Phone: 406-782-2278
- Fax: 406-782-2483
- Phone: 406-782-2278
- Fax: 406-782-2483
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 44493 |
| License Number State | MT |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 44408 |
| License Number State | MT |
VIII. Authorized Official
Name: DR.
NATHAN
JUDD
Title or Position: CO- PRESIDENT
Credential: DPM
Phone: 602-882-6322