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NPI Code Detail

MEDICARE: BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC

MEDICARE: BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC
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
1207RG0100XGastroenterology Physician
2207Q00000XFamily Medicine Physician
3208000000XPediatrics Physician
4261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1144194960
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 875 S COTTONWOOD RD STE 200
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-4222
Country : US
Telephone Number : 406-414-5336
Fax Number :
Authorized Official
Title or Position : CFO
Name : BRAD K LUDFORD
Credential :
Telephone Number : 406-414-1036
Provider Enumeration Date : 10/03/2025
Last Update Date : 03/11/2026

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