BOZEMAN SPORT AND SPINE LLC
NPI 1013004241
Physical Medicine & Rehabilitation - Pain Medicine in Bozeman, MT

Active since October 09, 2006
925 HIGHLAND BLVD, SUITE 1130, BOZEMAN SPORT AND SPINE LLC, BOZEMAN, MT 59715(406) 522-9067(406) 522-9074 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bozeman Sport And Spine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOZEMAN SPORT AND SPINE LLC (NPI 1013004241) is a healthcare organization registered as a pain medicine in Bozeman, Montana and active in the NPI registry since October 2006. The organization lists Bradley L. Aylor, Proprieter, as its authorized official.

NPPES Registry Identity

NPI1013004241
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameMONTANA SPORT AND SPINE LLC
Location Address925 HIGHLAND BLVD, SUITE 1130, BOZEMAN SPORT AND SPINE LLCBozeman, MT 59715-6900
Mailing Address925 Highland Blvd, Suite 1130, Montana Sport And Spine LlcBozeman, MT 59715-6900 · (406) 522-9067 · Fax (406) 522-9074
Fax(406) 522-9074
Organization SubpartNo
Authorized OfficialBradley L. AylorProprieter · (406) 522-9067
Enumeration DateOctober 9, 2006
Last NPPES UpdateJuly 23, 2013
✔ NPI 1013004241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in MT · 10381
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
925 HIGHLAND BLVD, SUITE 1130, Bozeman, MT 59715

Other Names 1

Doing Business AsBozeman Sport And Spine Llc

Other Identifiers 3

OtherDC7699MT · Railroad Medicare
Other000099205MT · Blue Cross Blue Shield
Medicare ID-Type Unspecified000084399MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bozeman Sport And Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bozeman Sport And Spine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1477645570
925 HIGHLAND BLVD, SUITE 1130 MONTANA SPORT AND SPINE LLC
Bozeman, MT 59715
(406) 522-9067
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Sport And Spine LLC's NPI number?

The NPI number for Montana Sport And Spine LLC is 1013004241. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is doing business as Bozeman Sport And Spine LLC.

Where is Montana Sport And Spine LLC located?

Montana Sport And Spine LLC is located at 925 Highland Blvd, Suite 1130 Bozeman Sport And Spine LLC, Bozeman, MT 59715. The listed phone number is (406) 522-9067.

What is Montana Sport And Spine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Montana Sport And Spine LLC enrolled in Medicare?

Yes. Montana Sport And Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montana Sport And Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Montana Sport And Spine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montana Sport And Spine LLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Montana Sport And Spine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Sport And Spine LLC was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.