MEDICARE: WESTERN MEDICAL AND NEUROSCIENCE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363A00000X	Physician Assistant
3	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05908002	OTHER	WY	BLUE CROSS CLINIC NUMBER
2	DE9288	OTHER	WY	RAILROAD MC GROUP NUMBER

General Provider Information

NPI Number	:	1093878837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN MEDICAL AND NEUROSCIENCE

Provider Business Mailing Address
First Line	:	1020 S CONWELL ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-3921
Country	:	US
Telephone Number	:	307-577-5100
Fax Number	:	307-234-1201

Provider Business Practice Location Address
First Line	:	2546 E 2ND ST
Second Line	:	SUITE 600
City	:	CASPER
State	:	WY
Zip	:	82609-2062
Country	:	US
Telephone Number	:	307-265-3737
Fax Number	:	307-265-3700

Authorized Official
Title or Position	:	PARTNER
Name	:	TIMOTHY N FRARY
Credential	:	PAC
Telephone Number	:	307-577-5100

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	09/11/2025

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Directions to “WESTERN MEDICAL AND NEUROSCIENCE ” Practice Location

Language	Start Address	Practice Location

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