Healthcare Provider Details

I. General information

NPI: 1356386437
Provider Name (Legal Business Name): LEAH J CARLBURG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH J BEVERS MD

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 12TH AVE W
COLUMBIA FALLS MT
59912-3844
US

IV. Provider business mailing address

1111 BAKER AVE
WHITEFISH MT
59937-2901
US

V. Phone/Fax

Practice location:
  • Phone: 406-862-2515
  • Fax: 406-862-4229
Mailing address:
  • Phone: 406-862-2515
  • Fax: 406-862-4229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11047
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number11047
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: