Healthcare Provider Details

I. General information

NPI: 1023134293
Provider Name (Legal Business Name): BRIAN W ABBOTT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N MONTANA AVE STE A
HELENA MT
59602
US

IV. Provider business mailing address

3150 N MONTANA AVE STE A
HELENA MT
59602-7804
US

V. Phone/Fax

Practice location:
  • Phone: 406-422-5817
  • Fax: 406-422-5928
Mailing address:
  • Phone: 907-212-6522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number77129
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: