Healthcare Provider Details

I. General information

NPI: 1154598746
Provider Name (Legal Business Name): BELLA MARIE GENTRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BELLA MARIE ROBERTS M.D.

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 N MILES AVE STE 101
HARDIN MT
59034-2356
US

IV. Provider business mailing address

16 N MILES AVE STE 101
HARDIN MT
59034-2356
US

V. Phone/Fax

Practice location:
  • Phone: 406-665-4103
  • Fax:
Mailing address:
  • Phone: 406-665-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMED-PHYS-LIC-11796
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25561
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: