MEDICARE: DR. JOSHUA AARON KNAPPENBERGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	12168	MT
2	2084N0400X	Neurology Physician	060-0003301	VT

General Provider Information

NPI Number	:	1093774887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA AARON KNAPPENBERGER M.D.

Provider Business Mailing Address
First Line	:	915 HIGHLAND BLVD
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6902
Country	:	US
Telephone Number	:	406-414-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 HIGHLAND BLVD STE 3210
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6912
Country	:	US
Telephone Number	:	406-414-2410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	04/09/2025

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