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NPI Code Detail

MEDICARE: BENJAMIN SCOTT HINKLE

MEDICARE: BENJAMIN SCOTT HINKLE
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
1363A00000XPhysician AssistantMED-PAC-LIC-160319MT
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861206385
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN SCOTT HINKLE
Provider Business Mailing Address
First Line : 1695 TSCHACHE LN
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-7965
Country : US
Telephone Number : 406-585-1360
Fax Number :
Provider Business Practice Location Address
First Line : 1695 TSCHACHE LN
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-7965
Country : US
Telephone Number : 406-585-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2025
Last Update Date : 12/08/2025

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Directions to “ BENJAMIN SCOTT HINKLE ” Practice Location

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