MEDICARE: DR. ERIK STUART ADAMS MD

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	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	36872-020	WI
2	207QS0010X	Sports Medicine (Family Medicine) Physician	50485	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164083531	OTHER	MT	GROUP NPI

General Provider Information

NPI Number	:	1881680510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIK STUART ADAMS MD

Provider Business Mailing Address
First Line	:	4181 FALLON ST
Second Line	:	ST 2
City	:	BOZEMAN
State	:	MT
Zip	:	59718-4400
Country	:	US
Telephone Number	:	406-586-2865
Fax Number	:	406-558-2891

Provider Business Practice Location Address
First Line	:	4181 FALLON ST
Second Line	:	STE 2
City	:	BOZEMAN
State	:	MT
Zip	:	59718-4400
Country	:	US
Telephone Number	:	406-586-2865
Fax Number	:	406-558-2891

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	11/24/2021

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Directions to “ DR. ERIK STUART ADAMS MD” Practice Location

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